Individual
MICHAEL CYDYLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 CLOVER HILL RD, TRUMBULL, CT 06611-2512
(203) 543-8126
Mailing address
25 CLOVER HILL RD, TRUMBULL, CT 06611-2512
(203) 543-8126
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
NONE
—
Enumeration date
03/11/2020
Last updated
03/11/2020
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