Skin Docs, LLC

NPI #1538415369 in Fairfield, Connecticut

Provider Information

NPI Number: 1538415369
Entity Type: Organization
Organization Name: Skin Docs, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 30, 2012
Last Updated: Sep 19, 2014

Practice Location

Address: 2321 BLACK ROCK TPKE
Address 2: HALL 2
City: Fairfield
State: Connecticut
ZIP Code: 06825-3220
Phone: (404) 805-2290

Authorized Official

Name: LOUIS MAZZELLA, MD
Title: SOLE MEMBER
Phone: (404) 805-2290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Family Medicine	207Q00000X	Primary

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