Active NPIOrganization

Dermatology Associates Of Southeastern Connecticut, P.c.

Dermatology in New London, Connecticut

NPI Number1346306289
Practice location
425 Montauk Ave, New London, CT 06320-4642
Fax
860-444-6208
Last updated
August 22, 2020

Dermatology Associates Of Southeastern Connecticut, P.c. is a healthcare organization based in New London, CT. Dermatology Associates Of Southeastern Connecticut, P.c. practices in New London, CT. The NPI Number for Dermatology Associates Of Southeastern Connecticut, P.c. is 1346306289. The current practice location address for Dermatology Associates Of Southeastern Connecticut, P.c. is 425 Montauk Ave, New London, CT 06320-4642 and can be reached out via phone at 860-442-1346 and via fax at 860-444-6208.

Provider Profile Details

NPI Number
1346306289
Provider Name
Dermatology Associates Of Southeastern Connecticut, P.c.
Provider Entity Type
Organization
Address
425 Montauk Ave, New London, CT 06320-4642
Phone Number
860-442-1346
Fax Number
860-444-6208
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
John Christopher Wiles, MD · President · 806-442-1346
Provider Enumeration Date
December 28, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
425 Montauk Ave
New London, CT 06320-4642
Zip
06320-4642
Phone Number
860-442-1346
Fax Number
860-444-6208
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
425 Montauk Ave
New London, CT 06320-4642
City
New London
State
CT
Zip
06320-4642
Phone Number
860-442-1346
Fax Number
860-444-6208

License Information

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 Dermatology Associates Of Southeastern Connecticut, P.c.?

The NPI number of Dermatology Associates Of Southeastern Connecticut, P.c. is 1346306289. It was assigned on December 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dermatology Associates Of Southeastern Connecticut, P.c.?

Dermatology Associates Of Southeastern Connecticut, P.c. is registered under the primary taxonomy Dermatology (code 207N00000X).

Where does Dermatology Associates Of Southeastern Connecticut, P.c. practice?

The practice location is 425 Montauk Ave, New London, CT 06320-4642. The office can be reached at 860-442-1346 (phone) or 860-444-6208 (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 1346306289 directly on the NPPES registry website.

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