Farmington Valley Dermatology and Surgery, LLC

NPI #1992563902 in South Windsor, Connecticut

Provider Information

NPI Number
1992563902
Entity Type
Organization
Organization Name
Farmington Valley Dermatology and Surgery, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FARMINGTON VALLEY DERMATOLOGY & SURGERY
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Mar 13, 2024
Last Updated
Mar 13, 2024

Practice Location

Address
2400 TAMARACK AVE STE 203
ZIP Code
06074-5559
Phone
(860) 674-9900

Authorized Official

Name
SADAF WAQAR, DO
Title
OWNER/PROVIDER
Phone
(860) 674-9900

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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