NPI 1053554667 · live from the CMS NPI Registry
Brittany Craiglow, MD
Dermatology in Fairfield, CT. National Provider Identifier 1053554667, active.
NPI record
| NPI | 1053554667 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 140 Sherman St Fl 3, Fairfield, CT 06824 |
| Practice phone | 203-538-5682 |
| Enumerated | April 13, 2009 |
| Last updated | April 17, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, Pediatric Dermatology | 207NP0225X | 51925 (CT) |
| Dermatology primary | 207N00000X | 51925 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.