Individual
PAUL THOMAS FIDRYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
1 TOWNE PARK PLZ, NORWICH, CT 06360-2247
(860) 886-1433
Mailing address
1 TOWNE PARK PLZ, NORWICH, CT 06360-2247
(860) 886-1433
(860) 886-4644
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8948
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2020
Last updated
08/01/2020
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