Individual
ALYSSA J MAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 RIVERSIDE DR, NORTH GROSVENORDALE, CT 06255-2134
(860) 923-9511
Mailing address
415 RIVERSIDE DR, NORTH GROSVENORDALE, CT 06255-2134
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
03/01/2026
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