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NPI Code Detail

MEDICARE: PAMELA MCLAUGHLIN APRN

MEDICARE: PAMELA MCLAUGHLIN APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner002427CT

General Provider Information

NPI Number : 1750358644
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA MCLAUGHLIN APRN
Provider Business Mailing Address
First Line : PO BOX 415126
Second Line :
City : BOSTON
State : MA
Zip : 02241-5126
Country : US
Telephone Number : 203-384-3975
Fax Number : 203-384-3829
Provider Business Practice Location Address
First Line : 226 MILL HILL AVE
Second Line : 3RD FLOOR
City : BRIDGEPORT
State : CT
Zip : 06610-2826
Country : US
Telephone Number : 203-384-3394
Fax Number : 203-384-3829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 03/16/2010

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