Individual
SCOTT EDWARD DOMBKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 N MAIN ST, DAYVILLE, CT 06241-2170
(860) 457-4690
Mailing address
40 KERR RD, CANTERBURY, CT 06331-1205
(860) 334-2020
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
08293
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08293
—
CT
Enumeration date
09/07/2022
Last updated
09/07/2022
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