Dewar, Michael L

Dewar, Michael L is an individual health care provider with primary practice located at 330 Cedar St # Bb204 , New Haven CT 06510-3218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Dewar, Michael L can be contacted via phone (203) 785-6253.

Contact Information

Primary practice address
330 Cedar St # Bb204 New Haven CT 06510-3218
Phone: (203) 785-6253
Fax: (203) 785-3346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 030234 Connecticut

Profile Details

NPI number 1366450611
LBN Legal business name Dewar, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Feb 14th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366450611 NPPES
Connecticut MEDICAID 001302348

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