Individual
MATTHEW LYONS DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 PINECREST RD, NORTH STONINGTON, CT 06359-1527
(860) 535-2004
Mailing address
NUMI BOX 159 SUBASE NEW LONDON, GROTON, CT 06349
(860) 694-2876
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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