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
- City
- South Windsor
- State
- Connecticut
- 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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