Active NPIOrganization

New Preston Dermatology, LLC

Dermatology in New Preston, Connecticut

NPI Number1407430655
Practice location
18 E Shore RD, New Preston, CT 06777-1628
Fax
860-393-1079
Last updated
June 24, 2021

New Preston Dermatology, LLC is a healthcare organization based in New Preston, CT. New Preston Dermatology, LLC practices in New Preston, CT. The NPI Number for New Preston Dermatology, LLC is 1407430655. The current practice location address for New Preston Dermatology, LLC is 18 E Shore RD, New Preston, CT 06777-1628 and can be reached out via phone at 484-868-9998 and via fax at 860-393-1079.

Provider Profile Details

NPI Number
1407430655
Provider Name
New Preston Dermatology, LLC
Provider Entity Type
Organization
Address
18 E Shore RD, New Preston, CT 06777-1628
Phone Number
484-868-9998
Fax Number
860-393-1079
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Andreas Boker, MD · Medical Director · 917-902-0540
Provider Enumeration Date
May 12, 2021
Last Update Date
June 24, 2021
Certification Date
June 24, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 E Shore RD
New Preston, CT 06777-1628
Zip
06777-1628
Phone Number
484-868-9998
Fax Number
860-393-1079
New Preston, CT 06777Get directions →

Provider Business Mailing Address Details

Address
18 E Shore RD
New Preston, CT 06777-1628
City
New Preston
State
CT
Zip
06777-1628
Phone Number
484-868-9998

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 New Preston Dermatology, LLC?

The NPI number of New Preston Dermatology, LLC is 1407430655. It was assigned on May 12, 2021 and is currently active in the NPPES registry.

What is the specialty of New Preston Dermatology, LLC?

New Preston Dermatology, LLC is registered under the primary taxonomy Dermatology (code 207N00000X).

Where does New Preston Dermatology, LLC practice?

The practice location is 18 E Shore RD, New Preston, CT 06777-1628. The office can be reached at 484-868-9998 (phone) or 860-393-1079 (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 1407430655 directly on the NPPES registry website.

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