NPI 1962685073 · live from the CMS NPI Registry
Sean Ryan Christensen, MD
Dermatology in New Haven, CT. National Provider Identifier 1962685073, active.
NPI record
| NPI | 1962685073 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 40 Temple St, Suite 5a, New Haven, CT 06510 |
| Practice phone | 203-785-3466 |
| Mailing address | Po Box 208059, 333 Cedar St, New Haven, CT 06520 |
| Enumerated | December 11, 2007 |
| Last updated | February 27, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 050079 (CT) |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 50079 (CT) |
| Dermatology, Procedural Dermatology | 207NS0135X | 50079 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.