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1578915740
MICHAEL THOMAS DYLAG
WATERBURY, CT
NPI
1578915740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 19849)
Enumeration Date
2016-07-12
Last Update Date
2023-06-28
Business Address
MICHAEL THOMAS DYLAG
111 TAFT PT UNIT 4
WATERBURY, CT 06708-5905
Phone number: 516-663-8312
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Mailing Address
MICHAEL THOMAS DYLAG
111 TAFT PT UNIT 4
WATERBURY, CT 06708-5905
Phone number:
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