Individual
MR. MICHAEL ANTHONY SPOSATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
98 MAIN ST, MIDSTATE MEDICAL GROUP, SOUTHINGTON, CT 06489-2500
(860) 621-6704
(860) 620-0446
Mailing address
98 MAIN ST STE 301, MIDSTATE MEDICAL GROUP, SOUTHINGTON, CT 06489-2500
(860) 621-6704
(860) 620-0446
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000066
CT
Other
Enumeration date
08/10/2006
Last updated
05/16/2012
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