Provider Demographics
NPI:1205491040
Name:MONK, MEGHAN CATHERINE
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:CATHERINE
Last Name:MONK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 BOSTON POST RD W STE 200&202
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-4667
Mailing Address - Country:US
Mailing Address - Phone:508-460-9613
Mailing Address - Fax:978-371-0522
Practice Address - Street 1:201 BOSTON POST RD W STE 200&202
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-4667
Practice Address - Country:US
Practice Address - Phone:508-460-9613
Practice Address - Fax:978-371-0522
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-07
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program