Individual
BENJAMIN JAMES DAHLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(315) 464-6361
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
06/18/2020
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