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Individual

MR. MICHAEL DUGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
2928 MAIN ST, STE 101, GLASTONBURY, CT 06033-1007
(860) 430-1246
(203) 905-6824

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002506
CT
363AM0700X
Medical Physician Assistant
Primary
002506
CT

Other

Enumeration date
11/19/2010
Last updated
11/22/2016
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