Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dwayne Patrick Hagenow

Individual provider Athletic Trainer · NPI 1184134025

Dwayne Patrick Hagenow is an Athletic Trainer in Cos Cob, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2017
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Practice location Address checks out

35 River Rd Ste 2
Cos Cob, CT 06807-2759
Phone: (203) 422-0679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 54.001127 (CT)

Record details

NPI number1184134025
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 5, 2017
Last updated in NPPESOctober 5, 2017

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