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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

NPI Number 1043378508
LBN Legal business name ESSEX DERMATOLOGY LLC
Authorized official VIRGINIA MAHER WIESE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2006
Last updated 11/15/2012 - About 14 years ago
Identifiers
CT Other C03091 MEDICARE ID - GROUP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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