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Individual

JONATHAN A DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL RHEUMATOLOGY SERVICES, HARTFORD, CT 06102-5037
(860) 545-3667
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
021512
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001215128
CT
Enumeration date
08/31/2006
Last updated
07/28/2011
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