Doctor Name: | MEGHAN COBB |
NPI Number: | 1033431739 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | RN280593 |
Business Practice Address: | 425 Harvard St Dorchester Center, MA - 021242737 |
Business Phone Number: | 6177400207 |
Business Fax Number: | |
Mailing Address: | 425 Harvard St, DORCHESTER CENTER |
State: | MA |
Postal Code: | 021242737 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/22/2010 |
NPI Last Update Date: | 07/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | RN280593 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |