NPI 1871709147 · live from the CMS NPI Registry
Grace Dolores Bandow, M.D.
Dermatology in Shelton, CT. National Provider Identifier 1871709147, active.
NPI record
| NPI | 1871709147 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 4 Corporate Dr, Shelton, CT 06484 |
| Practice phone | 203-538-5682 |
| Enumerated | May 15, 2007 |
| Last updated | April 20, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, Dermatopathology | 207ND0900X | 47948 (CT) |
| Dermatology primary | 207N00000X | 47948 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.