Active NPIOrganization

Southern Connecticut Dermatology, P.c.

Dermatology in Stamford, Connecticut

NPI Number1992879795
Practice location
1275 Summer Street, Suite 101, Stamford, CT 06905
Fax
203-323-8224
Last updated
March 13, 2012

Southern Connecticut Dermatology, P.c. is a healthcare organization based in Stamford, CT. Southern Connecticut Dermatology, P.c. practices in Stamford, CT. The NPI Number for Southern Connecticut Dermatology, P.c. is 1992879795 and holds a License No. 030597 (CT). The current practice location address for Southern Connecticut Dermatology, P.c. is 1275 Summer Street, Suite 101, Stamford, CT 06905 and can be reached out via phone at 203-323-5660 and via fax at 203-323-8224.

Provider Profile Details

NPI Number
1992879795
Provider Name
Southern Connecticut Dermatology, P.c.
Provider Entity Type
Organization
Address
1275 Summer Street, Suite 101, Stamford, CT 06905
Phone Number
203-323-5660
Fax Number
203-323-8224
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Dr. Robin D. Evans · Owner · 203-323-5660
Provider Enumeration Date
November 20, 2006
Last Update Date
March 13, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1275 Summer Street
Suite 101
Stamford, CT 06905
Zip
06905
Phone Number
203-323-5660
Fax Number
203-323-8224
Stamford, CT 06905Get directions →

Provider Business Mailing Address Details

Address
1275 Summer Street
Suite 101
Stamford, CT 06905
City
Stamford
State
CT
Zip
06905
Phone Number
203-323-5660
Fax Number
203-323-8224

License Information

License Number
030597
License State
CT
Taxonomy
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 Southern Connecticut Dermatology, P.c.?

The NPI number of Southern Connecticut Dermatology, P.c. is 1992879795. It was assigned on November 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Southern Connecticut Dermatology, P.c.?

Southern Connecticut Dermatology, P.c. is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 030597.

Where does Southern Connecticut Dermatology, P.c. practice?

The practice location is 1275 Summer Street, Suite 101, Stamford, CT 06905. The office can be reached at 203-323-5660 (phone) or 203-323-8224 (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 1992879795 directly on the NPPES registry website.

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