IndividualActive
Dmitry Mironov, MD
NPI 1073516969 · Pain Medicine (Anesthesiology) Physician · Norwalk, CT
Provider details
- NPI number
- 1073516969
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 037028 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
24 Stevens St
Norwalk, CT 06850-3852
Phone: (203) 852-2276
Fax: (203) 852-2527
Approximate (ZIP-level) locationGet directions
Mailing address
804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Registry dates
- Enumerated
- 2005-05-24
- Last updated
- 2007-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.