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Individual

DONNA DZUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1030 NEW BRITAIN AVE, WEST HARTFORD, CT 06110-2261
(860) 953-6201
(860) 947-2309
Mailing address
345 WHITNEY AVE, NEW HAVEN, CT 06511-2348
(203) 752-2856
(203) 752-8785

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
003345
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004258704
CT
Enumeration date
08/22/2006
Last updated
03/29/2012
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