Enfield Dermatology Llc

NPI 1073705232 - Dermatology - 207NS0135X

NPI Details
NPI 1073705232
Enumeration Date 08/13/2007
Last Updated 10/12/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELIZABETH A ELIZABETH
Position OFFICE MANGER
Phone (860) 749-7437
Fax (860) 749-0493
Practice Location
146 HAZARD AVE
SUITE 101
ENFIELD CT, 06082-4571, US
Phone (860) 749-7437
Fax (860) 749-0493
Business Location
146 HAZARD AVE
SUITE 101
ENFIELD CT, 06082-4571, US
Phone (860) 749-7437
Fax (860) 749-0493
Toxanomy
Taxonomy Code 207NS0135X
License State Connecticut
License Number 038326
Remove 1073705232 NPI Number
 

According to our database, Enfield Dermatology Llc NPI is 1073705232, taxonomy code is 207NS0135X and license number is 038326, license state is located at Connecticut. Enfield Dermatology Llc physically located at 146 Hazard Ave, Enfield CT, 06082-4571. NPI Number 1033115704 has the healthcare provider type.

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1073705232 NPI number is provided on an as is basis without warranty of any kind. 1073705232 is maintained by the National Plan & Provider Enumeration System. The contents of Enfield Dermatology Llc are for informational purposes only.