Healthcare Provider Details

I. General information

NPI: 1265725550
Provider Name (Legal Business Name): MEAGHAN L MASINI M.D., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2011
Last Update Date: 07/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4419 N HIGHWAY 7 STE 200
HOT SPRINGS AR
71909-9301
US

IV. Provider business mailing address

450 CLARKSON AVE BOX 1262
BROOKLYN NY
11203-2012
US

V. Phone/Fax

Practice location:
  • Phone: 501-922-2217
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number60277566
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE-12147
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: