Advanced Dermatology LLC
Dermatology in Norwich, Connecticut
1609892298- Practice location
- 111 Salem Tpke, Suite 7, Norwich, CT 06360-6459
- Phone
- 860-859-2262
- Fax
- 860-859-9819
- Last updated
- August 18, 2008
Advanced Dermatology LLC is a healthcare organization based in Norwich, CT. Advanced Dermatology LLC practices in Norwich, CT. The NPI Number for Advanced Dermatology LLC is 1609892298 and holds a License No. 002932 (CT). The current practice location address for Advanced Dermatology LLC is 111 Salem Tpke, Suite 7, Norwich, CT 06360-6459 and can be reached out via phone at 860-859-2262 and via fax at 860-859-9819.
Provider Profile Details
- NPI Number
- 1609892298
- Provider Name
- Advanced Dermatology LLC
- Provider Entity Type
- Organization
- Address
- 111 Salem Tpke, Suite 7, Norwich, CT 06360-6459
- Phone Number
- 860-859-2262
- Fax Number
- 860-859-9819
- Primary Taxonomy
- Dermatology · 207N00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Howard W. Rogers, MD · Owner · 860-859-2262
- Provider Enumeration Date
- July 15, 2006
- Last Update Date
- August 18, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Salem Tpke
Suite 7
Norwich, CT 06360-6459 - City
- Norwich
- State
- Connecticut
- Zip
- 06360-6459
- Phone Number
- 860-859-2262
- Fax Number
- 860-859-9819
Provider Business Mailing Address Details
- Address
- 111 Salem Tpke
Suite 7
Norwich, CT 06360-6459 - City
- Norwich
- State
- CT
- Zip
- 06360-6459
- Phone Number
- 860-859-2262
- Fax Number
- 860-859-9819
License Information
- License Number (1)
- 002932
- License State (1)
- CT
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 038560
- License State (2)
- CT
- Taxonomy (2)
- 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 Norwich, CT
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Frequently Asked Questions
What is the NPI number of Advanced Dermatology LLC?
The NPI number of Advanced Dermatology LLC is 1609892298. It was assigned on July 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Advanced Dermatology LLC?
Advanced Dermatology LLC is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 002932.
Where does Advanced Dermatology LLC practice?
The practice location is 111 Salem Tpke, Suite 7, Norwich, CT 06360-6459. The office can be reached at 860-859-2262 (phone) or 860-859-9819 (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 1609892298 directly on the NPPES registry website.