Dmitry Mironov MD

NPI 1073516969 - Anesthesiology - 207L00000X

NPI Details
NPI 1073516969
Gender Male
Enumeration Date 05/24/2005
Last Updated 11/07/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
24 STEVENS ST
NORWALK CT, 06850-3852, US
Phone (203) 852-2276
Fax (203) 852-2527
Business Location
804 SCOTT NIXON MEMORIAL DR
AUGUSTA GA, 30907-2464, US
Phone (706) 650-0705
Fax (706) 650-1034
Toxanomy
Taxonomy Code 207L00000X
License State Connecticut
License Number 037028
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According to our database, Dmitry Mironov MD NPI is 1073516969, taxonomy code is 207L00000X and license number is 037028, license state is located at Connecticut. Dmitry Mironov MD physically located at 24 Stevens St, Norwalk CT, 06850-3852. NPI Number Dmitry Mironov MD has the Individual type.

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1073516969 NPI number is provided on an as is basis without warranty of any kind. 1073516969 is maintained by the National Plan & Provider Enumeration System. The contents of Dmitry Mironov MD are for informational purposes only.