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NPI 1639160294 · live from the CMS NPI Registry

Advanced Dermatology Center, PC

Dermatology in Wolcott, CT. National Provider Identifier 1639160294, active.

NPI record

NPI1639160294 Type 2 · organization
StatusActive
Primary specialtyDermatology 207N00000X
Practice location464 Wolcott Rd, Wolcott, CT 06716
Practice phone203-879-6171
EnumeratedNovember 2, 2005
Last updatedAugust 17, 2026
Authorized officialRonald Jurzyk, Owner
Other namesRonald Jurzyk MD; Advanced Dermatology Center, PC

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology primary207N00000X035267 (CT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.