Provider Demographics
NPI:1699893206
Name:DUMAS, ALAIN JEAN (MD)
Entity type:Individual
Prefix:MR
First Name:ALAIN
Middle Name:JEAN
Last Name:DUMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 FOREST PARKWAY
Mailing Address - Street 2:DIANON SYSTEMS
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484
Mailing Address - Country:US
Mailing Address - Phone:203-926-7216
Mailing Address - Fax:203-926-7104
Practice Address - Street 1:1 FOREST PARKWAY
Practice Address - Street 2:DIANON SYSTEMS
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484
Practice Address - Country:US
Practice Address - Phone:203-926-7216
Practice Address - Fax:203-926-7104
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT040854207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010158197OtherPHYSICIAN LICENSE
NY5532433OtherPHYSICIAN LICENSE