Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 001112 | CT |
N | 111NN1001X | Nutrition | 001112 | CT |
NPI | 1821234436 |
---|---|
Provider Name | Dr. George John Muhs |
First Address | Bridgeport, CT 06604-5620 |
Second Address | Bridgeport, CT 06604-5620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2009 |
Last Update Date | 02/01/2009 |