Individual
HANNAH M S C URGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5 DAVIS RD E, OLD LYME, CT 06371-1413
(860) 390-6000
Mailing address
5 DAVIS RD E, OLD LYME, CT 06371-1413
(860) 390-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006323
CT
Other
Enumeration date
05/24/2016
Last updated
05/08/2026
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