Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 022251 | CT |
NPI | 1003996430 |
---|---|
Provider Name | Amritlal Manji Dalsania |
First Address | Meriden, CT 06450-5844 |
Second Address | Meriden, CT 06451-2101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 21/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001222512 | (05) | CT |