- Practice location
- 134 Park St, New Haven, CT 06511-5409
- Phone
- 973-571-2121
- Fax
- 973-498-0512
- Last updated
- November 30, 2017
Tdg Connecticut PLLC is a healthcare organization based in New Haven, CT. Tdg Connecticut PLLC practices in New Haven, CT. The NPI Number for Tdg Connecticut PLLC is 1245744846. The current practice location address for Tdg Connecticut PLLC is 134 Park St, New Haven, CT 06511-5409 and can be reached out via phone at 973-571-2121 and via fax at 973-498-0512.
Provider Profile Details
- NPI Number
- 1245744846
- Provider Name
- Tdg Connecticut PLLC
- Provider Entity Type
- Organization
- Address
- 134 Park St, New Haven, CT 06511-5409
- Phone Number
- 973-571-2121
- Fax Number
- 973-498-0512
- Primary Taxonomy
- Dermatology · 207N00000X
- Organization Subpart
- No
- Authorized Official
- Simon Samaha, MD · Ceo · 973-571-2121
- Provider Enumeration Date
- November 20, 2017
- Last Update Date
- November 30, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 134 Park St
New Haven, CT 06511-5409 - City
- New Haven
- State
- Connecticut
- Zip
- 06511-5409
- Phone Number
- 973-571-2121
- Fax Number
- 973-498-0512
Provider Business Mailing Address Details
- Address
- 347 Mount Pleasant Ave Ste 205
West Orange, NJ 07052-2749 - City
- West Orange
- State
- NJ
- Zip
- 07052-2749
- Phone Number
- 973-571-2121
- Fax Number
- 973-498-0512
License Information
- Taxonomy
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near New Haven, CT
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- Antonio Subtil Deoliveira Jr., MDDermatology · NPI 1245221639
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- Christina A Herrick, MDDermatology · NPI 1528040789
- David J Leffell, MDDermatology · NPI 1518940410
Frequently Asked Questions
What is the NPI number of Tdg Connecticut PLLC?
The NPI number of Tdg Connecticut PLLC is 1245744846. It was assigned on November 20, 2017 and is currently active in the NPPES registry.
What is the specialty of Tdg Connecticut PLLC?
Tdg Connecticut PLLC is registered under the primary taxonomy Dermatology (code 207N00000X).
Where does Tdg Connecticut PLLC practice?
The practice location is 134 Park St, New Haven, CT 06511-5409. The office can be reached at 973-571-2121 (phone) or 973-498-0512 (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 1245744846 directly on the NPPES registry website.