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Michael Thomas Dylag
Medical Physician Assistant in Waterbury, Connecticut
NPI 1578915740

Michael Thomas Dylag is a Medical Physician Assistant based in Waterbury, CT and is specialized in Medical. Michael Thomas Dylag practices in Waterbury, CT. The NPI Number for Michael Thomas Dylag is 1578915740 and holds a License No. 19849 (Connecticut).

The current practice location address for Michael Thomas Dylag is 111 Taft Pt, Waterbury, CT and can be reached out via phone at 516-663-8312.

Location: 111 Taft Pt, Waterbury, CT, 06708-5905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578915740
Provider Name
Michael Thomas Dylag
Credential
Provider Entity Type
Individual
Gender
Male
Address
111 Taft Pt, Waterbury, CT, 06708-5905
Phone Number
516-663-8312
Fax Number
Provider Enumeration Date
07/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 Taft Pt
City
Waterbury
State
Connecticut
Zip
06708-5905
Phone Number
516-663-8312
Fax Number
person
Provider Business Mailing Address Details
Address
111 Taft Pt
City
Waterbury
State
Connecticut
Zip
06708-5905
Phone Number
516-663-8312
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
19849 (New York)
Definition
Definition to come...
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