Individual
DYLAN JAY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000
Mailing address
70 CAMPBELL LN, EAST ISLIP, NY 11730-3622
(631) 813-6137
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
168875
CT
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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