Advanced Dermatology & Laser Center, LLC

NPI #1063433969 in Westport, Connecticut

Provider Information

NPI Number: 1063433969
Entity Type: Organization
Organization Name: Advanced Dermatology & Laser Center, LLC
Primary Specialty: Dermatology
Enumeration Date: Jul 23, 2006
Last Updated: Feb 6, 2013

Practice Location

Address: 489 POST ROAD EAST
City: Westport
State: Connecticut
ZIP Code: 06880
Phone: (203) 226-3600

Authorized Official

Name: TANYA FUTORYAN, MD
Title: MEDICAL DIRECTOR
Phone: (203) 226-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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