Individual
MR. JOHN LOUIS DIAKUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
211 NEW BRITAIN RD, SUITE #108, KENSINGTON, CT 06037-1360
(860) 826-6450
(860) 826-6451
Mailing address
211 NEW BRITAIN RD, SUITE #108, KENSINGTON, CT 06037-1360
(860) 826-6450
(860) 826-6451
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000075
CT
237700000X
Hearing Instrument Specialist
000103
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004015038
—
CT
05
—
004035143
—
CT
Enumeration date
01/22/2007
Last updated
08/05/2020
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