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Tabor David Dizon, PA-C
Surgical Physician Assistant in Hartford, Connecticut
NPI 1154622553

Tabor David Dizon is a Surgical Physician Assistant based in Boston, CT and is specialized in Surgical. Tabor David Dizon practices in Hartford, CT and has the professional credentials of PA-C. The NPI Number for Tabor David Dizon is 1154622553 and holds a License No. 002519 (Connecticut).

The current practice location address for Tabor David Dizon is 80 Seymour Street, Hartford, CT and can be reached out via phone at 860-545-5200.

Location: 80 Seymour Street, Hartford, CT, 02241-5933
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Provider Profile Details
NPI Number
1154622553
Provider Name
Tabor David Dizon
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
80 Seymour Street, Hartford, CT, 02241-5933
Phone Number
860-545-5200
Fax Number
Provider Enumeration Date
11/16/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003025194 05 CT
institution
Provider Business Practice Location Address Details
Address
80 Seymour Street
City
State
Zip
06102-5037
Phone Number
860-545-5200
Fax Number
person
Provider Business Mailing Address Details
Address
80 Seymour Street
City
State
Zip
06102-5037
Phone Number
860-545-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
002519 (Connecticut)
Definition
Definition to come...
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