Most Relevant Information
Provider Data
| NPI Number: | 1003047481 |
| Provider Name: | MELODY MUKON PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 000277 |
Most Important Dates
| Enumeration Date: | 08/03/2009 |
| Last Updated: | 08/03/2009 |
Provider Practice Location
330 WASHINGTON ST
SUITE 220
NORWICH
CT
063602700
Practice Location Phone/Fax
| Phone: | 8608868362 |
| Fax: | 8608869262 |
Provider Mailing Location
330 WASHINGTON ST
SUITE 220
NORWICH
CT
063602700
Provider Mailing Phone/Fax
| Phone: | 8608868362 |
| Fax: | 8608869262 |