NPI 1487440301 · live from the CMS NPI Registry
Brett King MD LLC
Dermatology in Fairfield, CT. National Provider Identifier 1487440301, active.
NPI record
| NPI | 1487440301 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 425 Post Road, 2nd Floor, Fairfield, CT 06824 |
| Practice phone | 203-292-9490 |
| Mailing address | 763 Eleven O Clock Rd, Fairfield, CT 06824 |
| Enumerated | April 17, 2025 |
| Last updated | April 17, 2025 |
| Authorized official | Brett King, Owner |
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.