Individual
MELODY MUKON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
330 WASHINGTON ST, SUITE 220, NORWICH, CT 06360-2700
(860) 886-8362
(860) 886-9262
Mailing address
330 WASHINGTON ST, SUITE 220, NORWICH, CT 06360-2700
(860) 886-8362
(860) 886-9262
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000277
CT
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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