Individual
MEGHAN MARIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4769
(860) 442-0711
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320-4769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-13133
NC
363A00000X
Physician Assistant
Primary
6423
CT
Other
Enumeration date
01/23/2023
Last updated
06/08/2026
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