NPI 1609892298 · live from the CMS NPI Registry
Advanced Dermatology LLC
Dermatology in Norwich, CT. National Provider Identifier 1609892298, active.
NPI record
| NPI | 1609892298 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 111 Salem Tpke, Suite 7, Norwich, CT 06360 |
| Practice phone | 860-859-2262 |
| Enumerated | July 15, 2006 |
| Last updated | August 18, 2008 |
| Authorized official | Howard Rogers, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 002932 (CT) |
| Dermatology primary | 207N00000X | 038560 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.