Individual
DALE ROWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 CHURCH ST, MIDDLETOWN, CT 06457-3647
(860) 344-8606
(860) 344-8693
Mailing address
20 HIGH ST, GROTON, CT 06340-5752
(860) 344-8608
(860) 344-8963
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
1155779
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4064721-1155779
—
CT
Enumeration date
08/04/2006
Last updated
07/08/2007
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