NPI 1346306289 · live from the CMS NPI Registry
Dermatology Associates Of Southeastern Connecticut, P.C.
Dermatology in New London, CT. National Provider Identifier 1346306289, active.
NPI record
| NPI | 1346306289 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 425 Montauk Ave, New London, CT 06320 |
| Practice phone | 860-442-1346 |
| Enumerated | December 28, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | John Wiles, President |
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.