Healthcare Provider Details
I. General information
NPI: 1639865330
Provider Name (Legal Business Name): MEGHAN ELIZABETH ROBBINS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/14/2023
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
357 HARTFORD TPKE
VERNON CT
06066-4838
US
IV. Provider business mailing address
357 HARTFORD TPKE
VERNON CT
06066-4838
US
V. Phone/Fax
- Phone: 860-871-2102
- Fax: 860-870-0890
- Phone: 860-871-2102
- Fax: 860-870-0890
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 84458 |
| License Number State | CT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: