Individual provider · Type 1 NPI

Ethan Dyer

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1194260836 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (203) 688-4242 Map

Other practice locations

  • 600 N Wolfe St, Baltimore, MD 21287-0005 · (410) 955-5000

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000X86204 (CT)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194260836

Ethan Dyer's National Provider Identifier is 1194260836, issued on Jan 4, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on Aug 28, 2026.