NPI 1639377690 · live from the CMS NPI Registry
Dermatology Associates P.C.
Dermatology in New Haven, CT. National Provider Identifier 1639377690, active.
NPI record
| NPI | 1639377690 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1 Long Wharf Dr # 30, New Haven, CT 06511 |
| Practice phone | 203-787-4171 |
| Mailing address | 1 Long Wharf Dr, 30, New Haven, CT 06511 |
| Enumerated | July 10, 2007 |
| Last updated | September 8, 2007 |
| Authorized official | Mark Goldstein, President/Physician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 025369 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.