Individual
SAMANTHA MOBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-3013
(860) 528-1359
Mailing address
53 CANAL ST, WEATOGUE, CT 06089-9605
(603) 714-0532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3509
CT
Other
Enumeration date
01/25/2016
Last updated
11/23/2016
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