Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 031474 | CT |
NPI | 1013019769 |
---|---|
Provider Name | Dr. Perry Maxwell Dansky |
First Address | Bloomfield, CT 06002-2111 |
Second Address | Hartford, CT 06105-1208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 21/10/2021 |