Individual provider · Type 1 NPI

Joan M. Doback, PA-C

Surgical Physician Assistant · Waterbury, CT

NPI number 1902888936 Active

Practice location

64 Robbins St
Waterbury, CT 06708-2613

Mailing address

57 Marbern Ln
Naugatuck, CT 06770-1613

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X000167 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1902888936

Joan M. Doback, PA-C's National Provider Identifier is 1902888936, issued on Nov 16, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Waterbury, CT. The record was last updated on Sep 24, 2008.