Individual
RANDALL R DWENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
187 S CANAAN RD, CANAAN, CT 06018-2544
(860) 824-1397
(888) 690-2727
Mailing address
30 CEDAR CREST, PO BOX 443, SALISBURY, CT 06068-0443
(917) 513-7438
(888) 690-2727
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
183297
NY
Other
Enumeration date
07/22/2006
Last updated
06/04/2021
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