DERMASOLOGY, Specialist/Technologist, Other GLASTONBURY, CT

Contact Information

DERMASOLOGY

39 NEW LONDON TPKE STE 218
GLASTONBURY, CT 06033-4208

Phone: 407-982-4876
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist/Technologist, Other	246Z00000X

Indicates primary specialty

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NPI Profile & details for DERMASOLOGY · (Female)

NPI #	`1578362380`
Status	Active
Credentials
Entity	Individual
Enumeration date	03/12/2025
Last updated	08/21/2025 - About 10 months ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
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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DERMASOLOGYSpecialist/Technologist, Other

Contact Information

Specialty

Specialist/Technologist, Other

NPI Profile & details for DERMASOLOGY · (Female)

Reviews for DERMASOLOGY

DERMASOLOGY
Specialist/Technologist, Other