Individual
MR. JOSHUA DUMOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
346 MAIN AVE, NORWALK, CT 06851-1510
(203) 846-0005
Mailing address
834 MAIN AVENUE, NORWALK, CT 06851-6126
(203) 846-0005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002118
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002118
CT LISCENSE
CT
Enumeration date
07/23/2008
Last updated
11/02/2011
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