Individual
OLVAS DALLAKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-7000
Mailing address
86 HALSTEAD AVE APT 3C, HARRISON, NY 10528-4129
(224) 310-0195
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
063556
CT
208M00000X
Hospitalist Physician
063556
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2016
Last updated
06/03/2019
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