RYAN F MAKUCK

STAFFORD SPRINGS, CT
NPI1982858999
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  002203)
Enumeration Date2008-11-05
Last Update Date2008-11-05
Business Address
-- RYAN F MAKUCK PA-C
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT 06076-4005
Phone number: 860-749-2201
Mailing Address
-- RYAN F MAKUCK PA-C
3334 TOWN BROOKE
MIDDLETOWN, CT 06457-6611
Phone number: 860-632-8191