NPI 1457728883 · live from the CMS NPI Registry
Integrated Dermatology Of Clinton, LLC
Dermatology in Madison, CT. National Provider Identifier 1457728883, active.
NPI record
| NPI | 1457728883 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1343 Boston Post Rd Apt 101, Madison, CT 06443 |
| Practice phone | 860-669-6156 |
| Mailing address | 4700 Exchange Ct Ste 110, Boca Raton, FL 33431 |
| Enumerated | September 2, 2015 |
| Last updated | February 9, 2026 |
| Authorized official | Adam Plotkin, Authorized Official |
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.