Provider Demographics
NPI:1235713934
Name:ROGERS, MEGAN COLE (PA-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:COLE
Last Name:ROGERS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:WHITE 1
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2696
Mailing Address - Country:US
Mailing Address - Phone:617-643-0045
Mailing Address - Fax:617-726-7415
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:WHITE 1
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-643-0045
Practice Address - Fax:617-726-7415
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-09
Last Update Date:2021-07-23
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant