Enfield Dermatology LLC
Dermatology, Procedural Dermatology in Enfield, CT. Organization (NPI-2).
NPI number1073705232
StatusActive
Last updated in NPPESOct 12, 2007
Details
- NPI
- 1073705232
- Entity type
- Organization (NPI-2)
- Legal business name
- Enfield Dermatology LLC
- Organization subpart
- No
- Enumeration date
- Aug 13, 2007
- Last updated
- Oct 12, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207NS0135X | Dermatology, Procedural Dermatology | 038326 | CT | Yes |
Practice location
146 Hazard AveSuite 101
Enfield, CT 06082-4571
Phone 860-749-7437 · Fax 860-749-0493
Mailing address
146 Hazard AveSuite 101
Enfield, CT 06082-4571
Phone 860-749-7437 · Fax 860-749-0493
Authorized official
Elizabeth A Sheehan
Office Manger
8607497437
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