Individual
MRS. JOAN M DOBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
64 ROBBINS ST, WATERBURY, CT 06708-2613
(203) 573-7233
Mailing address
57 MARBERN LN, NAUGATUCK, CT 06770-1613
(203) 729-9799
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000167
CT
Other
Enumeration date
11/16/2005
Last updated
09/24/2008
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