NPI 1043378508 · live from the CMS NPI Registry
Essex Dermatology LLC
Dermatology in Essex, CT. National Provider Identifier 1043378508, active.
NPI record
| NPI | 1043378508 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 20 Saybrook Road, Essex, CT 06426 |
| Practice phone | 860-767-9998 |
| Enumerated | December 5, 2006 |
| Last updated | November 15, 2012 |
| Authorized official | Virginia Maher Wiese, Owner |
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.