Provider Demographics
NPI:1063064665
Name:CHAPMAN, MAEGHAN MOLLY (PA-C)
Entity type:Individual
Prefix:
First Name:MAEGHAN
Middle Name:MOLLY
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 MEMORIAL RD STE 508
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-4233
Mailing Address - Country:US
Mailing Address - Phone:860-696-2925
Mailing Address - Fax:860-696-2926
Practice Address - Street 1:65 MEMORIAL RD STE 508
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-4233
Practice Address - Country:US
Practice Address - Phone:860-696-2925
Practice Address - Fax:860-696-2926
Is Sole Proprietor?:No
Enumeration Date:2019-07-13
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program