Doctor Name: | MR. GEORGE PUSKO |
NPI Number: | 1477536183 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 0000284 |
Business Practice Address: | 1 Lake St Grove Hill Medical Center New Britain, CT - 060521396 |
Business Phone Number: | 8608264453 |
Business Fax Number: | 8608266219 |
Mailing Address: | 300 Kensington Ave, Grove Hill Medical Center NEW BRITAIN |
State: | CT |
Postal Code: | 060513916 |
Phone Number: | 8608264453 |
Fax Number: | 8608266219 |
NPI Enumeration Date: | 11/28/2005 |
NPI Last Update Date: | 06/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 0000284 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |