Individual
JOHN DALE NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY OF CONNECTICUT HEALTH CTR, 263 FARMINGTON AVENUE - MC1614, FARMINGTON, CT 06030-0001
(860) 679-6052
(860) 679-4973
Mailing address
UNIVERSITY OF CONNECTICUT HEALTH CTR, 263 FARMINGTON AVENUE - MC1614, FARMINGTON, CT 06030-0001
(860) 679-6052
(860) 679-4973
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
0101239254
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10239079
—
VA
Enumeration date
06/28/2005
Last updated
05/07/2009
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