DYLAN M BULLER
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1083234173- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 85 SEYMOUR ST STE 416, HARTFORD, CT, 061065523
- Phone
- (860) 947-8500
- Fax
- (860) 524-8643
Specialties & Taxonomies
Urology
Primary License: CT #83980
Urology
License: NY #335299