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Contact Information

ESSEX DERMATOLOGY LLC
20 SAYBROOK ROAD
ESSEX, CT06426-1401
 Phone: 860-767-9998
 Fax: 860-767-9161
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ESSEX DERMATOLOGY LLC · (Female)

NPI Number 1043378508
Status Active
Credentials
Entity Individual
Enumeration date 12/05/2006
Last updated 11/15/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT Other C03091 MEDICARE ID - GROUP
Hospital affiliation(s) Not Available
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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