Individual
DMITRY MEYEROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
(203) 276-2182
(203) 276-4160
Mailing address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
(203) 276-2182
(203) 276-4160
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
54042
CT
390200000X
Student in an Organized Health Care Education/Training Program
94-07715
KS
Other
Enumeration date
06/10/2011
Last updated
06/19/2015
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