Integrated Dermatology of Bridgeport, Pllc

NPI #1952897704 in Bridgeport, Connecticut

Provider Information

NPI Number: 1952897704
Entity Type: Organization
Organization Name: Integrated Dermatology of Bridgeport, Pllc
Primary Specialty: Dermatology
Enumeration Date: Jul 5, 2018
Last Updated: Jan 15, 2019

Practice Location

Address: 4639 MAIN ST
City: Bridgeport
State: Connecticut
ZIP Code: 06606-1832
Phone: (203) 374-5546

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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