Ethan Dipasquale
NPI #1437967239 in Wallingford, Connecticut
Provider Information
- NPI Number
- 1437967239
- Entity Type
- Individual
- Name
- Ethan Dipasquale
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Electroneurodiagnostic
- Enumeration Date
- Dec 26, 2024
- Last Updated
- Dec 26, 2024
Practice Location
- Address
- 76 S WHITTLESEY AVE
- Address 2
- FLOOR 2
- City
- Wallingford
- State
- Connecticut
- ZIP Code
- 06492-4177
- Phone
- (813) 675-7777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic |
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