NPI 1407374481 · live from the CMS NPI Registry
Center For Skin Surgery & Dermatology, PLLC
Dermatology, MOHS-Micrographic Surgery in Glastonbury, CT. National Provider Identifier 1407374481, active.
NPI record
| NPI | 1407374481 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 2928 Main St Ste 100, Glastonbury, CT 06033 |
| Practice phone | 860-633-2332 |
| Enumerated | August 30, 2017 |
| Last updated | March 7, 2023 |
| Authorized official | Christine Giglio, Practice Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | 040694 (CT) |
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | 040694 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.