Active NPIOrganization

John W. Edelglass M.d., P.c.

Dermatology, Procedural Dermatology in Woodbridge, Connecticut

NPI Number1710187505
Practice location
1 Bradley RD, Suite 705, Woodbridge, CT 06525-2285
Fax
203-389-1427
Last updated
August 12, 2007

John W. Edelglass M.d., P.c. is a healthcare organization based in Woodbridge, CT. John W. Edelglass M.d., P.c. practices in Woodbridge, CT. The NPI Number for John W. Edelglass M.d., P.c. is 1710187505 and holds a License No. 023280 (CT). The current practice location address for John W. Edelglass M.d., P.c. is 1 Bradley RD, Suite 705, Woodbridge, CT 06525-2285 and can be reached out via phone at 203-389-1185 and via fax at 203-389-1427.

Provider Profile Details

NPI Number
1710187505
Provider Name
John W. Edelglass M.d., P.c.
Provider Entity Type
Organization
Address
1 Bradley RD, Suite 705, Woodbridge, CT 06525-2285
Phone Number
203-389-1185
Fax Number
203-389-1427
Primary Taxonomy
Dermatology, Procedural Dermatology · 207NS0135X
Organization Subpart
No
Authorized Official
Dr. John Warren Edelglass, MD · President · 203-389-1185
Provider Enumeration Date
July 20, 2007
Last Update Date
August 12, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Bradley RD
Suite 705
Woodbridge, CT 06525-2285
Zip
06525-2285
Phone Number
203-389-1185
Fax Number
203-389-1427
Woodbridge, CT 06525Get directions →

Provider Business Mailing Address Details

Address
1 Bradley RD
Suite 705
Woodbridge, CT 06525-2285
City
Woodbridge
State
CT
Zip
06525-2285
Phone Number
203-389-1185
Fax Number
203-389-1427

License Information

License Number
023280
License State
CT
Taxonomy
Dermatology, Procedural Dermatology · 207NS0135X · Primary

Legacy Identifiers

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

Other Dermatology, Procedural Dermatology providers near Woodbridge, CT

View all Dermatology, Procedural Dermatology providers in Woodbridge →

Frequently Asked Questions

What is the NPI number of John W. Edelglass M.d., P.c.?

The NPI number of John W. Edelglass M.d., P.c. is 1710187505. It was assigned on July 20, 2007 and is currently active in the NPPES registry.

What is the specialty of John W. Edelglass M.d., P.c.?

John W. Edelglass M.d., P.c. is registered under the primary taxonomy Dermatology, Procedural Dermatology (code 207NS0135X), licensed in CT under license number 023280.

Where does John W. Edelglass M.d., P.c. practice?

The practice location is 1 Bradley RD, Suite 705, Woodbridge, CT 06525-2285. The office can be reached at 203-389-1185 (phone) or 203-389-1427 (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 1710187505 directly on the NPPES registry website.

Browse related providers