Individual
DYLAN JARED ASSAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 N PLAINS INDUSTRIAL RD, WALLINGFORD, CT 06492-2360
(243) 949-2700
Mailing address
101 N PLAINS INDUSTRIAL RD, WALLINGFORD, CT 06492-2360
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2019011876
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
77593
CT
Other
Enumeration date
04/06/2018
Last updated
07/08/2024
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