Elite Dermatology Physicians Pllc

NPI #1003644402 in New Canaan, Connecticut

Provider Information

NPI Number: 1003644402
Entity Type: Organization
Organization Name: Elite Dermatology Physicians Pllc
Primary Specialty: Dermatology
Enumeration Date: Jul 25, 2024
Last Updated: Jul 25, 2024

Practice Location

Address: 38 EAST AVE
City: New Canaan
State: Connecticut
ZIP Code: 06840-5516
Phone: (415) 802-1310

Authorized Official

Name: ELLEN DE MOLL, MD
Title: OWNER
Phone: (203) 200-0523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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