Advanced Dermatology LLC
NPI #1609892298 in Norwich, Connecticut
Provider Information
- NPI Number
- 1609892298
- Entity Type
- Organization
- Organization Name
- Advanced Dermatology LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Jul 15, 2006
- Last Updated
- Aug 18, 2008
Practice Location
- Address
- 111 SALEM TPKE
- Address 2
- SUITE 7
- City
- Norwich
- State
- Connecticut
- ZIP Code
- 06360-6459
- Phone
- (860) 859-2262
Authorized Official
- Name
- DR. HOWARD W. ROGERS, MD
- Title
- OWNER
- Phone
- (860) 859-2262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Dermatology |
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