Tdg Connecticut Pllc
NPI #1245744846 in New Haven, Connecticut
Provider Information
- NPI Number
- 1245744846
- Entity Type
- Organization
- Organization Name
- Tdg Connecticut Pllc
- Primary Specialty
- Dermatology
- Enumeration Date
- Nov 20, 2017
- Last Updated
- Nov 30, 2017
Practice Location
- Address
- 134 PARK ST
- City
- New Haven
- State
- Connecticut
- ZIP Code
- 06511-5409
- Phone
- (973) 571-2121
Authorized Official
- Name
- SIMON SAMAHA, MD
- Title
- CEO
- Phone
- (973) 571-2121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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