Integrated Dermatology Of Enfield, Llc

NPI 1134544661 - Specialist - 174400000X

NPI Details
NPI 1134544661
Enumeration Date 02/20/2014
Last Updated 02/20/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JEFFREY D JEFFREY
Position MANAGER
Phone (860) 741-2225
Fax
Practice Location
113 ELM ST
ENFIELD CT, 06082-3700, US
Phone (860) 741-2225
Fax
Business Location
902 CLINT MOORE RD
SUITE 226
BOCA RATON FL, 33487-2800, US
Phone (561) 314-2000
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Integrated Dermatology Of Enfield, Llc NPI is 1134544661, taxonomy code is 174400000X Integrated Dermatology Of Enfield, Llc physically located at 113 Elm St, Enfield CT, 06082-3700. NPI Number 1033115704 has the healthcare provider type.

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1134544661 NPI number is provided on an as is basis without warranty of any kind. 1134544661 is maintained by the National Plan & Provider Enumeration System. The contents of Integrated Dermatology Of Enfield, Llc are for informational purposes only.