NPI 1417454521 · live from the CMS NPI Registry
Dylan Jared Assael, MD
Radiology, Vascular & Interventional Radiology in Wallingford, CT. National Provider Identifier 1417454521, active.
NPI record
| NPI | 1417454521 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Vascular & Interventional Radiology 2085R0204X |
| Practice location | 101 N Plains Industrial Rd, Wallingford, CT 06492 |
| Practice phone | 243-949-2700 |
| Enumerated | April 6, 2018 |
| Last updated | July 8, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 2019011876 (MO) |
| Radiology, Vascular & Interventional Radiology primary | 2085R0204X | 77593 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.