NPI 1003349739

Corey Ryan Dwyer

Practitioner Sports Medicine (Orthopaedic Surgery) Physician Farmington, CT

Practice location

Address: 263 Farmington Ave, Farmington, CT 06032-4038
Phone: (860) 679-6600
Fax: (860) 679-2109
Mailing address: 263 Farmington Ave, Farmington, CT 06032-1956

Registered specialties (2)

Sports Medicine (Orthopaedic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence 075345 (CT)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003349739
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2017
Record last updated: 11 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.