ADVANCED DERMATOLOGY LLC
Organization (NPI-2)
Active
Dermatology
Provider Information
- NPI Number
1609892298- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 111 SALEM TPKE SUITE 7, NORWICH, CT, 063606459
- Phone
- (860) 859-2262
- Fax
- (860) 859-9819
Specialties & Taxonomies
Registered Nurse
License: CT #002932
Dermatology
Primary License: CT #038560