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Eastern Connecticut Dermatology Pc
Specialist in Groton, Connecticut
NPI 1760604961

Eastern Connecticut Dermatology Pc is a Specialist based in Groton, CT. Eastern Connecticut Dermatology Pc practices in Groton, CT. The NPI Number for Eastern Connecticut Dermatology Pc is 1760604961 and holds a License No. 025536 (Connecticut).

The current practice location address for Eastern Connecticut Dermatology Pc is 491 Gold Star Hwy, Groton, CT and can be reached out via phone at 860-445-8020 and via fax at 860-445-1665.

Location: 491 Gold Star Hwy, Groton, CT, 06340-6226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760604961
Provider Name
Eastern Connecticut Dermatology Pc
Credential
Provider Entity Type
Organization
Address
491 Gold Star Hwy, Groton, CT, 06340-6226
Phone Number
860-445-8020
Fax Number
860-445-1665
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001255363 05 CT
001233204 05 CT
institution
Provider Business Practice Location Address Details
Address
491 Gold Star Hwy
City
Groton
State
Connecticut
Zip
06340-6226
Phone Number
860-445-8020
Fax Number
860-445-1665
person
Provider Business Mailing Address Details
Address
491 Gold Star Hwy
City
Groton
State
Connecticut
Zip
06340-6226
Phone Number
860-445-8020
Fax Number
860-445-1665
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
025536 (Connecticut)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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