Dermatology Associates of Southeastern Connecticut, P.c.

NPI #1346306289 in New London, Connecticut

Provider Information

NPI Number: 1346306289
Entity Type: Organization
Organization Name: Dermatology Associates of Southeastern Connecticut, P.c.
Primary Specialty: Dermatology
Enumeration Date: Dec 28, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 425 MONTAUK AVE
City: New London
State: Connecticut
ZIP Code: 06320-4642
Phone: (860) 442-1346

Authorized Official

Name: JOHN CHRISTOPHER WILES, M.D.
Title: PRESIDENT
Phone: (806) 442-1346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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