Annette L Headley MD LLC

NPI #1568772242 in Mystic, Connecticut

Provider Information

NPI Number: 1568772242
Entity Type: Organization
Organization Name: Annette L Headley MD LLC
Primary Specialty: Dermatology
Enumeration Date: Oct 15, 2010
Last Updated: Nov 9, 2010

Practice Location

Address: 56 WHITEHALL AVE
City: Mystic
State: Connecticut
ZIP Code: 06355-1978
Phone: (860) 536-1354

Authorized Official

Name: DR. ANNETTE L HEADLEY, MD
Title: PROPRIETOR/PHYSICIAN
Phone: (860) 536-1354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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