Individual
MICHAEL J DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
55 MERIDEN AVE STE 3G, SOUTHINGTON, CT 06489-3235
(860) 827-7690
(860) 827-7696
Mailing address
55 MERIDEN AVE STE 3G, SOUTHINGTON, CT 06489-3235
(860) 827-7690
(860) 827-7696
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004101
CT
363AS0400X
Surgical Physician Assistant
008002
NY
Other
Enumeration date
01/23/2007
Last updated
01/26/2023
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