NPI 1023068087 · live from the CMS NPI Registry
Advanced Dermcare PC
Dermatology in Danbury, CT. National Provider Identifier 1023068087, active.
NPI record
| NPI | 1023068087 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 25 Tamarack Ave, Advanced Derm Care PC, Danbury, CT 06811 |
| Practice phone | 203-797-8990 |
| Mailing address | 25 Tamarack Ave, Danbury, CT 06811 |
| Enumerated | May 11, 2006 |
| Last updated | March 6, 2024 |
| Authorized official | Diane Edmond, Credentialing |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.