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Contact Information

DMITRY MIRONOV, MD
24 STEVENS ST
NORWALK, CT06850-3852
 Phone: 203-852-2276
 Fax: 203-852-2527
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for DMITRY MIRONOV · (Male)

NPI # 1073516969
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2005
Last updated 11/07/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 037028
Hospital affiliation(s)
  • NORWALK HOSPITAL ASSOCIATION - (Acute Care)
    24 STEVENS STREET
    NORWALK, CT 06856
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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