Sirota, Megan Christine Dibble

Sirota, Megan Christine Dibble is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2696. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Sirota, Megan Christine Dibble can be contacted via phone (413) 315-3117.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2696
Phone: (413) 315-3117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 285527 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 10459057-1205 Utah
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 285527 Massachusetts

Profile Details

NPI number 1720498850
LBN Legal business name Sirota, Megan Christine Dibble
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2014
Last updated Jun 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720498850 NPPES
Connecticut MEDICAID 008078876
Connecticut MEDICAID 110169675A

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