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MRS. MEGHAN B BRUNNOCK PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1063500841

Individual Registrant:
MRS. MEGHAN B BRUNNOCK PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
34 WATER STREET SUITE 2 MYSTIC, CT 06355 US
Tel: 860-572-9994  Fax: 860-572-9930

Contact information for business:
34 WATER STREET SUITE 2 MYSTIC, CT 06355 US
Tel: 860-572-9994  Fax: 860-572-9930

Registration Information:
NPI: 1063500841
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CT000967

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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