NPI 1003047481

Melody Mukon, PA

Practitioner Medical Physician Assistant Norwich, CT

Practice location

Address: 330 Washington St Suite 220, Norwich, CT 06360-2700
Phone: (860) 886-8362
Fax: (860) 886-9262

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 000277 (CT)

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Registry record

NPI: 1003047481
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Aug 2009
Record last updated: 3 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.