Active NPIOrganization

Advanced Dermatology Center, PC

Dermatology in Wolcott, Connecticut

NPI Number1639160294
Practice location
464 Wolcott RD, Wolcott, CT 06716-2626
Fax
203-879-1191
Last updated
August 17, 2026

Advanced Dermatology Center, PC is a healthcare organization based in Wolcott, CT. Advanced Dermatology Center, PC practices in Wolcott, CT. The NPI Number for Advanced Dermatology Center, PC is 1639160294 and holds a License No. 035267 (CT). The current practice location address for Advanced Dermatology Center, PC is 464 Wolcott RD, Wolcott, CT 06716-2626 and can be reached out via phone at 203-879-6171 and via fax at 203-879-1191.

Provider Profile Details

NPI Number
1639160294
Provider Name
Advanced Dermatology Center, PC
Provider Entity Type
Organization
Address
464 Wolcott RD, Wolcott, CT 06716-2626
Phone Number
203-879-6171
Fax Number
203-879-1191
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Ronald S. Jurzyk, MD · Owner · 203-879-6171
Other Names
Ronald Jurzyk MD (Doing Business As)
Advanced Dermatology Center, PC (Doing Business As)
Provider Enumeration Date
November 2, 2005
Last Update Date
August 17, 2026
Certification Date
August 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
464 Wolcott RD
Wolcott, CT 06716-2626
Zip
06716-2626
Phone Number
203-879-6171
Fax Number
203-879-1191
Wolcott, CT 06716Get directions →

Provider Business Mailing Address Details

Address
464 Wolcott RD
Wolcott, CT 06716-2626
City
Wolcott
State
CT
Zip
06716-2626
Phone Number
203-879-6171
Fax Number
203-879-1191

License Information

License Number
035267
License State
CT
Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dermatology providers near Wolcott, CT

View all Dermatology providers in Wolcott →

Frequently Asked Questions

What is the NPI number of Advanced Dermatology Center, PC?

The NPI number of Advanced Dermatology Center, PC is 1639160294. It was assigned on November 2, 2005 and is currently active in the NPPES registry.

What is the specialty of Advanced Dermatology Center, PC?

Advanced Dermatology Center, PC is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 035267.

Where does Advanced Dermatology Center, PC practice?

The practice location is 464 Wolcott RD, Wolcott, CT 06716-2626. The office can be reached at 203-879-6171 (phone) or 203-879-1191 (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 1639160294 directly on the NPPES registry website.

Browse related providers