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Individual

MICHELLE MALZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
315 E CENTER ST, MANCHESTER, CT 06040-3315
(860) 533-0179
Mailing address
47B CARILLON DR, ROCKY HILL, CT 06067-2501

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
143177
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
11881
CT

Other

Enumeration date
04/12/2023
Last updated
03/18/2025
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