Individual
AJAY DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 CASE ST, NORWICH, CT 06360-2222
(860) 887-5355
Mailing address
3500: KINGSDALE BLVD, LAKE ORION, MI 48360
(860) 917-8837
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
024690
CT
Other
Enumeration date
06/17/2005
Last updated
07/09/2021
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