Individual
ETHAN DIPASQUALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
76 S WHITTLESEY AVE, FLOOR 2, WALLINGFORD, CT 06492-4177
(813) 675-7777
Mailing address
76 S WHITTLESEY AVE, FLOOR 2, WALLINGFORD, CT 06492-4177
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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