Individual
MR. GEORGE PUSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 LAKE ST, GROVE HILL MEDICAL CENTER, NEW BRITAIN, CT 06052-1396
(860) 826-4453
(860) 826-6219
Mailing address
300 KENSINGTON AVE, GROVE HILL MEDICAL CENTER, NEW BRITAIN, CT 06051-3916
(860) 826-4453
(860) 826-6219
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0000284
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000284
CONNECTICARE
CT
01
—
0V7366
HEALTH NET
CT
01
—
290000284CT01
BCBS & BCFP
CT
Enumeration date
11/28/2005
Last updated
06/24/2013
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