NPI 1679523450 · live from the CMS NPI Registry
Mona A Gohara, MD
Dermatology in Danbury, CT. National Provider Identifier 1679523450, active.
NPI record
| NPI | 1679523450 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 25 Tamarack Ave, Advanced Derm Care PC, Danbury, CT 06811 |
| Practice phone | 203-797-8990 |
| Enumerated | May 11, 2006 |
| Last updated | January 28, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 043192 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.