NPI 1730175845 · live from the CMS NPI Registry
Dermatology Associates Of Glastonbury LLC
Dermatology in Glastonbury, CT. National Provider Identifier 1730175845, active.
NPI record
| NPI | 1730175845 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 210 New London Tpke, Glastonbury, CT 06033 |
| Practice phone | 860-633-1543 |
| Enumerated | September 23, 2005 |
| Last updated | April 7, 2021 |
| Authorized official | Janelle Manton, Partner |
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.