Dylan Jay Wood
Nurse Anesthetist, Certified Registered in Bridgeport, CT. Individual provider (NPI-1).
NPI number1164095519
StatusActive
Last updated in NPPESJul 22, 2021
Details
- NPI
- 1164095519
- Entity type
- Individual (NPI-1)
- Name
- Dylan Jay Wood
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2021
- Certification date
- Jul 22, 2021
- Last updated
- Jul 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 168875 | CT | Yes |
Practice location
267 Grant StBridgeport, CT 06610-2805
Phone 203-384-3000
Mailing address
70 Campbell LnEast Islip, NY 11730-3622
Phone 631-813-6137
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