DERMASOLOGY; NPI #1578362380

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

NPI Number	`1578362380`
LBN Legal business name	DERMASOLOGY
Authorized official	JENNIFER WILLIAMS - (ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/12/2025
Last updated	08/21/2025 - About 10 months 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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DERMASOLOGY

Contact Information

Specialty

Specialist/Technologist, Other

NPI Profile & details for DERMASOLOGY

Reviews for DERMASOLOGY