Individual
MS. AMY HOGAN MUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-6475
Mailing address
132 CLEARFIELD RD, WETHERSFIELD, CT 06109-3219
(858) 337-1261
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002483
CT
Other
Enumeration date
10/14/2010
Last updated
11/08/2012
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