FARMINGTON VALLEY DERMATOLOGY AND SURGERY, LLC; NPI #1992563902

Contact Information

FARMINGTON VALLEY DERMATOLOGY AND SURGERY, LLC

2400 TAMARACK AVE STE 203
SOUTH WINDSOR, CT 06074-5559

Phone: 860-674-9900
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Non-Pharmacy Dispensing Site	332900000X	87	All Other Suppliers

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NPI Profile & details for FARMINGTON VALLEY DERMATOLOGY AND SURGERY, LLC

NPI Number	`1992563902`
LBN Legal business name	FARMINGTON VALLEY DERMATOLOGY AND SURGERY, LLC
Authorized official	SADAF WAQAR - (OWNER/PROVIDER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	03/13/2024
Last updated	03/13/2024 - About 2 years ago
Identifiers	n/a

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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FARMINGTON VALLEY DERMATOLOGY AND SURGERY, LLC

Contact Information

Specialty

Non-Pharmacy Dispensing Site

NPI Profile & details for FARMINGTON VALLEY DERMATOLOGY AND SURGERY, LLC

Reviews for FARMINGTON VALLEY DERMATOLOGY AND SURGERY, LLC