Active NPIOrganization

Modern Dermatology PC

Dermatology in Westport, Connecticut

NPI Number1497258719
Practice location
1032 Post RD E, Westport, CT 06880
Fax
203-635-0771
Last updated
July 18, 2018

Modern Dermatology PC is a healthcare organization based in Westport, CT. Modern Dermatology PC practices in Westport, CT. The NPI Number for Modern Dermatology PC is 1497258719 and holds a License No. 049946 (CT). The current practice location address for Modern Dermatology PC is 1032 Post RD E, Westport, CT 06880 and can be reached out via phone at 203-635-0770 and via fax at 203-635-0771.

Provider Profile Details

NPI Number
1497258719
Provider Name
Modern Dermatology PC
Provider Entity Type
Organization
Address
1032 Post RD E, Westport, CT 06880
Phone Number
203-635-0770
Fax Number
203-635-0771
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Ms. Ina King · Office Manager · 201-294-5841
Provider Enumeration Date
March 13, 2018
Last Update Date
July 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1032 Post RD E
Westport, CT 06880
Zip
06880
Phone Number
203-635-0770
Fax Number
203-635-0771
Westport, CT 06880Get directions →

Provider Business Mailing Address Details

Address
1032 Post RD E
Westport, CT 06880-5369
City
Westport
State
CT
Zip
06880-5369
Phone Number
203-635-0770
Fax Number
203-635-0771

License Information

License Number
049946
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 Modern Dermatology PC?

The NPI number of Modern Dermatology PC is 1497258719. It was assigned on March 13, 2018 and is currently active in the NPPES registry.

What is the specialty of Modern Dermatology PC?

Modern Dermatology PC is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 049946.

Where does Modern Dermatology PC practice?

The practice location is 1032 Post RD E, Westport, CT 06880. The office can be reached at 203-635-0770 (phone) or 203-635-0771 (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 1497258719 directly on the NPPES registry website.

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