Provider Demographics
NPI:1588177828
Name:SZPAKOWSKI, MEGAN
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:SZPAKOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 OPTICAL DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01550-2559
Mailing Address - Country:US
Mailing Address - Phone:508-519-3523
Mailing Address - Fax:508-764-4389
Practice Address - Street 1:5 OPTICAL DR
Practice Address - Street 2:
Practice Address - City:SOUTHBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01550-2559
Practice Address - Country:US
Practice Address - Phone:508-519-3523
Practice Address - Fax:508-764-4389
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-08
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program