NPI 1073705232 · live from the CMS NPI Registry
Enfield Dermatology LLC
Dermatology, Procedural Dermatology in Enfield, CT. National Provider Identifier 1073705232, active.
NPI record
| NPI | 1073705232 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, Procedural Dermatology 207NS0135X |
| Practice location | 146 Hazard Ave, Suite 101, Enfield, CT 06082 |
| Practice phone | 860-749-7437 |
| Enumerated | August 13, 2007 |
| Last updated | October 12, 2007 |
| Authorized official | Elizabeth Sheehan, Office Manger |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, Procedural Dermatology primary | 207NS0135X | 038326 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.