| Doctor Name: | MEGHAN RAE HAGE |
| NPI Number: | 1225399447 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPA-C |
| License Number: | 015620 |
| Business Practice Address: | 4893 Transit Road Depew, NY - 14043 |
| Business Phone Number: | 7166087040 |
| Business Fax Number: | 7166087065 |
| Mailing Address: | 4893 Transit Rd, DEPEW |
| State: | NY |
| Postal Code: | 140434698 |
| Phone Number: | 7166087040 |
| Fax Number: | 7166087065 |
| NPI Enumeration Date: | 06/05/2012 |
| NPI Last Update Date: | 11/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 015620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |