Individual
MR. PAUL ARTHUR DIMMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
820 WASHINGTON ST, MIDDLETOWN, CT 06457-2912
(860) 344-1551
Mailing address
11 HAYWAGON DR, OLD LYME, CT 06371-2081
(860) 235-7778
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8996
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8996
RPH LICENSE #
CT
Enumeration date
02/10/2008
Last updated
02/10/2008
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