Individual
ALYSON BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 COUNTRY WAY, NORTH HAVEN, CT 06473-2415
(267) 312-3142
Mailing address
15 COUNTRY WAY, NORTH HAVEN, CT 06473-2415
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001951
CT
Other
Enumeration date
09/11/2007
Last updated
08/12/2016
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