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DR. DYLAN PETER ROMAN DPT

>> Physical Medicine & Rehabilitation >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1275141079

Individual Registrant:
DR. DYLAN PETER ROMAN DPT
Gender: M
Sole Proprietor

Location and contact information for practice:
255 RIVER RD  WILLINGTON, CT 06279-1630 US
Tel: 860-966-2380  Fax: --

Contact information for business:
255 RIVER RD  WILLINGTON, CT 06279-1630 US
Tel: 860-966-2380  Fax: --

Registration Information:
NPI: 1275141079
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208100000XAllopathic & Osteopathic Physicians
Physical Medicine & Rehabilitation
CT012388

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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