NPI 1073516969

Dmitry Mironov, MD

Practitioner Pain Medicine (Anesthesiology) Physician Norwalk, CT

Practice location

Address: 24 Stevens St, Norwalk, CT 06850-3852
Phone: (203) 852-2276
Fax: (203) 852-2527
Mailing address: 804 Scott Nixon Memorial Dr, Augusta, GA 30907-2464

Registered specialties (2)

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 037028 (CT)

Other Anesthesiology providers in Connecticut →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 037028 (CT)

Registry record

NPI: 1073516969
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2005
Record last updated: 7 Nov 2007

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.