Integrated Dermatology of Waterbury, LLC

NPI #1588136220 in Waterbury, Connecticut

Provider Information

NPI Number: 1588136220
Entity Type: Organization
Organization Name: Integrated Dermatology of Waterbury, LLC
Primary Specialty: Dermatology
Enumeration Date: Dec 19, 2018
Last Updated: Dec 19, 2018

Practice Location

Address: 1078 W MAIN ST
City: Waterbury
State: Connecticut
ZIP Code: 06708-2651
Phone: (203) 757-1585

Authorized Official

Name: ADAM S PLOTKIN, MD
Title: AUTHORIZED GROUP OFFICIAL
Phone: (561) 314-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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