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NPI Code Detail

MEDICARE: PULMONARY PHYSICIANS OF NORWICH PC

MEDICARE: PULMONARY PHYSICIANS OF NORWICH PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LC0200XCritical Care Medicine (Anesthesiology) Physician
2207R00000XInternal Medicine Physician
3207RP1001XPulmonary Disease Physician

General Provider Information

NPI Number : 1457426934
Entity Type Code : Organization
Provider Name (Legal Business Name) : PULMONARY PHYSICIANS OF NORWICH PC
Provider Business Mailing Address
First Line : 79 WAWECUS ST STE 103
Second Line :
City : NORWICH
State : CT
Zip : 06360-2173
Country : US
Telephone Number : 860-886-1862
Fax Number : 860-886-2046
Provider Business Practice Location Address
First Line : 79 WAWECUS ST STE 103
Second Line :
City : NORWICH
State : CT
Zip : 06360-2173
Country : US
Telephone Number : 860-886-1862
Fax Number : 860-886-2046
Authorized Official
Title or Position : PRESIDENT
Name : DR. THINESH DAHANAYAKE
Credential : MD
Telephone Number : 860-886-1862
Provider Enumeration Date : 11/21/2006
Last Update Date : 02/12/2026

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Directions to “PULMONARY PHYSICIANS OF NORWICH PC ” Practice Location

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