Modern Dermatology PC

NPI #1497258719 in Westport, Connecticut

Provider Information

NPI Number: 1497258719
Entity Type: Organization
Organization Name: Modern Dermatology PC
Primary Specialty: Dermatology
Enumeration Date: Mar 13, 2018
Last Updated: Jul 18, 2018

Practice Location

Address: 1032 POST RD E
City: Westport
State: Connecticut
ZIP Code: 06880
Phone: (203) 635-0770

Authorized Official

Name: MS. INA KING
Title: OFFICE MANAGER
Phone: (201) 294-5841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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