Individual
MICHAEL L DEWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 CEDAR ST # BB204, NEW HAVEN, CT 06510-3218
(203) 785-6253
(203) 785-3346
Mailing address
330 CEDAR ST # BB204, PO BOX 208039, NEW HAVEN, CT 06510-3218
(203) 785-6253
(203) 785-3346
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
030234
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001302348
—
CT
Enumeration date
08/03/2006
Last updated
02/14/2017
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