The Dermatology Center of Connecticut, LLC

NPI #1922633213 in Wallingford, Connecticut

Provider Information

NPI Number: 1922633213
Entity Type: Organization
Organization Name: The Dermatology Center of Connecticut, LLC
Primary Specialty: Dermatology
Enumeration Date: Mar 6, 2020
Last Updated: Mar 6, 2020

Practice Location

Address: 60 CHURCH ST UNIT 4B
City: Wallingford
State: Connecticut
ZIP Code: 06492-2340
Phone: (203) 907-8474

Authorized Official

Name: KIMBERLY ELLEN BOLDON
Title: OWNER
Phone: (203) 907-8474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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Beth A Buscher, M.D.	Dermatology	Newtown	AI Deep Dive
Laurence A Sibrack, M.D.	Dermatology	Newtown	AI Deep Dive
Tanya Chiarelli Ave'lallemant, MD	Dermatology	Bristol	AI Deep Dive
Jane M Grant-Kels, M.D.	Dermatology	Farmington	AI Deep Dive

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