Active NPIOrganization

Advanced Dermatology & Laser Center, LLC

Dermatology in Westport, Connecticut

NPI Number1063433969
Practice location
489 Post Road East, Westport, CT 06880
Fax
203-226-2555
Last updated
February 6, 2013

Advanced Dermatology & Laser Center, LLC is a healthcare organization based in Westport, CT. Advanced Dermatology & Laser Center, LLC practices in Westport, CT. The NPI Number for Advanced Dermatology & Laser Center, LLC is 1063433969 and holds a License No. 035123 (CT). The current practice location address for Advanced Dermatology & Laser Center, LLC is 489 Post Road East, Westport, CT 06880 and can be reached out via phone at 203-226-3600 and via fax at 203-226-2555.

Provider Profile Details

NPI Number
1063433969
Provider Name
Advanced Dermatology & Laser Center, LLC
Provider Entity Type
Organization
Address
489 Post Road East, Westport, CT 06880
Phone Number
203-226-3600
Fax Number
203-226-2555
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Tanya Futoryan, MD · Medical Director · 203-226-3600
Other Names
Westport Dermatology (Doing Business As)
Provider Enumeration Date
July 23, 2006
Last Update Date
February 6, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
489 Post Road East
Westport, CT 06880
Zip
06880
Phone Number
203-226-3600
Fax Number
203-226-2555
Westport, CT 06880Get directions →

Provider Business Mailing Address Details

Address
489 Post Road East
Westport, CT 06880
City
Westport
State
CT
Zip
06880
Phone Number
203-226-3600
Fax Number
203-226-2555

License Information

License Number
035123
License State
CT
Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Advanced Dermatology & Laser Center, LLC?

The NPI number of Advanced Dermatology & Laser Center, LLC is 1063433969. It was assigned on July 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Advanced Dermatology & Laser Center, LLC?

Advanced Dermatology & Laser Center, LLC is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 035123.

Where does Advanced Dermatology & Laser Center, LLC practice?

The practice location is 489 Post Road East, Westport, CT 06880. The office can be reached at 203-226-3600 (phone) or 203-226-2555 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063433969 directly on the NPPES registry website.

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