Integrated Dermatology of Groton LLC

NPI #1265868558 in Groton, Connecticut

Provider Information

NPI Number: 1265868558
Entity Type: Organization
Organization Name: Integrated Dermatology of Groton LLC
Primary Specialty: Dermatology
Enumeration Date: Sep 19, 2013
Last Updated: Jan 11, 2019

Practice Location

Address: 481 GOLD STAR HWY STE 201
City: Groton
State: Connecticut
ZIP Code: 06340-6702
Phone: (860) 445-8020

Authorized Official

Name: JEFFREY D. QUEEN
Title: MANAGER
Phone: (561) 314-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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