Individual
MR. RYAN JOHN DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
52 BEACH RD, FAIRFIELD, CT 06824-6641
(203) 254-2000
Mailing address
160 HAWLEY LN, TRUMBULL, CT 06611-5300
(203) 386-0096
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
005420
CT
Other
Enumeration date
12/08/2011
Last updated
11/05/2013
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