Enfield Dermatology LLC
Dermatology, Procedural Dermatology in Enfield, Connecticut
1073705232- Practice location
- 146 Hazard Ave, Suite 101, Enfield, CT 06082-4571
- Phone
- 860-749-7437
- Fax
- 860-749-0493
- Last updated
- October 12, 2007
Enfield Dermatology LLC is a healthcare organization based in Enfield, CT. Enfield Dermatology LLC practices in Enfield, CT. The NPI Number for Enfield Dermatology LLC is 1073705232 and holds a License No. 038326 (CT). The current practice location address for Enfield Dermatology LLC is 146 Hazard Ave, Suite 101, Enfield, CT 06082-4571 and can be reached out via phone at 860-749-7437 and via fax at 860-749-0493.
Provider Profile Details
- NPI Number
- 1073705232
- Provider Name
- Enfield Dermatology LLC
- Provider Entity Type
- Organization
- Address
- 146 Hazard Ave, Suite 101, Enfield, CT 06082-4571
- Phone Number
- 860-749-7437
- Fax Number
- 860-749-0493
- Primary Taxonomy
- Dermatology, Procedural Dermatology · 207NS0135X
- Organization Subpart
- No
- Authorized Official
- Mrs. Elizabeth A Sheehan · Office Manger · 860-749-7437
- Provider Enumeration Date
- August 13, 2007
- Last Update Date
- October 12, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 146 Hazard Ave
Suite 101
Enfield, CT 06082-4571 - City
- Enfield
- State
- Connecticut
- Zip
- 06082-4571
- Phone Number
- 860-749-7437
- Fax Number
- 860-749-0493
Provider Business Mailing Address Details
- Address
- 146 Hazard Ave
Suite 101
Enfield, CT 06082-4571 - City
- Enfield
- State
- CT
- Zip
- 06082-4571
- Phone Number
- 860-749-7437
- Fax Number
- 860-749-0493
License Information
- License Number
- 038326
- License State
- CT
- Taxonomy
- Dermatology, Procedural Dermatology · 207NS0135X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Enfield Dermatology LLC?
The NPI number of Enfield Dermatology LLC is 1073705232. It was assigned on August 13, 2007 and is currently active in the NPPES registry.
What is the specialty of Enfield Dermatology LLC?
Enfield Dermatology LLC is registered under the primary taxonomy Dermatology, Procedural Dermatology (code 207NS0135X), licensed in CT under license number 038326.
Where does Enfield Dermatology LLC practice?
The practice location is 146 Hazard Ave, Suite 101, Enfield, CT 06082-4571. The office can be reached at 860-749-7437 (phone) or 860-749-0493 (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 1073705232 directly on the NPPES registry website.