On Site Dermatology of Connecticut LLC

NPI #1326473661 in Madison, Connecticut

Provider Information

NPI Number: 1326473661
Entity Type: Organization
Organization Name: On Site Dermatology of Connecticut LLC
Primary Specialty: Dermatology
Enumeration Date: Sep 5, 2013
Last Updated: Mar 29, 2024

Practice Location

Address: 1343 BOSTON POST RD APT 101
City: Madison
State: Connecticut
ZIP Code: 06443-3481
Phone: (877) 345-5300

Authorized Official

Name: JEFFREY QUEEN
Title: ADMINISTRATOR
Phone: (561) 314-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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