Active NPIIndividual provider

Dr. Grace D Bandow, MD

Dermatology in Shelton, Connecticut

NPI Number1871709147
Practice location
4 Corporate Dr, Shelton, CT 06484-6211
Fax
—
Last updated
April 20, 2023

Grace Dolores Bandow is a Dermatology based in Shelton, CT. Grace Dolores Bandow practices in Shelton, CT and has the professional credentials of MD. The NPI Number for Grace Dolores Bandow is 1871709147 and holds a License No. 47948 (CT). The current practice location address for Grace Dolores Bandow is 4 Corporate Dr, Shelton, CT 06484-6211 and can be reached out via phone at 203-538-5682.

Provider Profile Details

NPI Number
1871709147
Provider Name
Grace Dolores Bandow
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4 Corporate Dr, Shelton, CT 06484-6211
Phone Number
203-538-5682
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Provider Enumeration Date
May 15, 2007
Last Update Date
April 20, 2023
Certification Date
April 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Corporate Dr
Shelton, CT 06484-6211
Zip
06484-6211
Phone Number
203-538-5682
Shelton, CT 06484Get directions →

Provider Business Mailing Address Details

Address
4 Corporate Dr
Shelton, CT 06484-6211
City
Shelton
State
CT
Zip
06484-6211
Phone Number
203-538-5682
Fax Number
203-538-5685

License Information

License Number (1)
47948
License State (1)
CT
Taxonomy (1)
Dermatology, Dermatopathology · 207ND0900X
License Number (2)
47948
License State (2)
CT
Taxonomy (2)
Dermatology · 207N00000X · 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 Dr. Grace D Bandow, MD?

The NPI number of Dr. Grace D Bandow, MD is 1871709147. It was assigned on May 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Grace D Bandow, MD?

Dr. Grace D Bandow, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 47948.

Where does Dr. Grace D Bandow, MD practice?

The practice location is 4 Corporate Dr, Shelton, CT 06484-6211. The office can be reached at 203-538-5682 (phone).

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 1871709147 directly on the NPPES registry website.

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