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Individual

LUKA MUSKATALLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6517
Mailing address
57 S MAIN ST, MIDDLETOWN, CT 06457-3606
(860) 368-0050

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6059
CT

Other

Enumeration date
04/22/2022
Last updated
11/02/2023
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