Individual
CARRIE A GUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
727 WASHINGTON ST, WATERTOWN, NY 13601-4031
(315) 785-7009
(315) 785-8566
Mailing address
PO BOX 91, WATERTOWN, NY 13601-0091
(315) 782-4207
(315) 782-8699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000218
NY
Other
Enumeration date
05/20/2006
Last updated
05/07/2008
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