Active NPIOrganization

Dermatology Surgical Associates, LLC

Dermatology, MOHS-Micrographic Surgery in Farmington, Connecticut

NPI Number1588859946
Practice location
499 Farmington Ave, Suite 230, Farmington, CT 06032-1933
Fax
860-409-0602
Last updated
November 23, 2011

Dermatology Surgical Associates, LLC is a healthcare organization based in Farmington, CT. Dermatology Surgical Associates, LLC practices in Farmington, CT. The NPI Number for Dermatology Surgical Associates, LLC is 1588859946 and holds a License No. 039399 (CT). The current practice location address for Dermatology Surgical Associates, LLC is 499 Farmington Ave, Suite 230, Farmington, CT 06032-1933 and can be reached out via phone at 860-676-1900 and via fax at 860-409-0602.

Provider Profile Details

NPI Number
1588859946
Provider Name
Dermatology Surgical Associates, LLC
Provider Entity Type
Organization
Address
499 Farmington Ave, Suite 230, Farmington, CT 06032-1933
Phone Number
860-676-1900
Fax Number
860-409-0602
Primary Taxonomy
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
Organization Subpart
No
Authorized Official
Dr. Timothy Kyle Chartier · Physician · 860-676-1900
Provider Enumeration Date
September 10, 2007
Last Update Date
November 23, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
499 Farmington Ave
Suite 230
Farmington, CT 06032-1933
Zip
06032-1933
Phone Number
860-676-1900
Fax Number
860-409-0602
Farmington, CT 06032Get directions →

Provider Business Mailing Address Details

Address
499 Farmington Ave
Suite 230
Farmington, CT 06032-1933
City
Farmington
State
CT
Zip
06032-1933
Phone Number
860-676-1900
Fax Number
860-409-0602

License Information

License Number
039399
License State
CT
Taxonomy
Dermatology, MOHS-Micrographic Surgery · 207ND0101X · 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 Surgical Associates, LLC?

The NPI number of Dermatology Surgical Associates, LLC is 1588859946. It was assigned on September 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Dermatology Surgical Associates, LLC?

Dermatology Surgical Associates, LLC is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X), licensed in CT under license number 039399.

Where does Dermatology Surgical Associates, LLC practice?

The practice location is 499 Farmington Ave, Suite 230, Farmington, CT 06032-1933. The office can be reached at 860-676-1900 (phone) or 860-409-0602 (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 1588859946 directly on the NPPES registry website.

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