Individual
DR. STANLEY JOHN DEZJOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
108 NEW LONDON TPKE, NORWICH, CT 06360-2645
(860) 886-8007
(860) 886-9545
Mailing address
PO BOX 279, EAST LYME, CT 06333-0279
(860) 886-8007
(860) 886-9545
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1014
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4135944
—
CT
Enumeration date
08/31/2006
Last updated
07/09/2007
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