Individual
DR. PAULA DIBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
612 HARTFORD PIKE, DAYVILLE, CT 06241-2159
(860) 779-0867
Mailing address
612 HARTFORD PIKE, DAYVILLE, CT 06241-2159
(860) 779-0867
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
103765
GA
207R00000X
Internal Medicine Physician
64376
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2017
Last updated
03/24/2025
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