Provider Demographics
NPI:1750884383
Name:CONNORS, DYLAN TUOZZO (PA-C)
Entity type:Individual
Prefix:MRS
First Name:DYLAN
Middle Name:TUOZZO
Last Name:CONNORS
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:145 NEW BERN ST APT 516
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-4325
Mailing Address - Country:US
Mailing Address - Phone:631-848-8739
Mailing Address - Fax:
Practice Address - Street 1:10628 PARK RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-8407
Practice Address - Country:US
Practice Address - Phone:704-667-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-09
Last Update Date:2021-08-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant