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Individual

MATTHEW W MUSCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8200
Mailing address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8200

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2501
CT

Other

Enumeration date
10/22/2010
Last updated
10/22/2010
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