| Doctor Name: | MARY A MECCA-MONAHAN |
| NPI Number: | 1013919612 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 000213 |
| Business Practice Address: | 114 Woodland St Dept Of Surgery Hartford, CT - 061051208 |
| Business Phone Number: | 8607144694 |
| Business Fax Number: | 8607148311 |
| Mailing Address: | 1000 Asylum Ave, Suite 2109a HARTFORD |
| State: | CT |
| Postal Code: | 061051770 |
| Phone Number: | 8607146581 |
| Fax Number: | 8607148311 |
| NPI Enumeration Date: | 08/12/2005 |
| NPI Last Update Date: | 02/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 000213 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |