Healthcare Provider Details

I. General information

NPI: 1902302136
Provider Name (Legal Business Name): MEAGAN REGINA HAJJAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2018
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SEYMOUR STREET SOUTH BLDG 502
HARTFORD CT
06102-5037
US

IV. Provider business mailing address

147 SHORE DR
DENNIS MA
02638-1172
US

V. Phone/Fax

Practice location:
  • Phone: 860-972-0549
  • Fax: 860-545-5221
Mailing address:
  • Phone: 339-222-2778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number1018087
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1.069106
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: