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Contact Information

GRACE L FEDERMAN, MD
25 TAMARACK AVE
ADVANCED DERM CARE PC
DANBURY, CT06811
 Phone: 203-797-8990
 Fax: 203-743-2199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for GRACE L FEDERMAN · (Female)

NPI Number 1033160924
Status Active
Credentials MD
Entity Individual
Enumeration date 05/15/2006
Last updated 03/21/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 033025
  • CT Medicaid 1330258
Hospital affiliation(s)
  • DANBURY HOSPITAL - (Acute Care)
    24 HOSPITAL AVE
    DANBURY, CT 06810
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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