Advanced Dermcare Pc

LBN: Advanced Dermcare Pc
Advanced Dermcare Pc is an health care organization with primary practice located at 25 Tamarack Ave Advanced Derm Care Pc, Danbury CT 06811. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Advanced Dermcare Pc can be contacted via phone (203) 797-8990, or through Edmond, Diane via phone (203) 731-2207.

Contact Information

Primary practice address
25 Tamarack Ave Advanced Derm Care Pc Danbury CT 06811
Phone: (203) 797-8990
Fax: (203) 748-7861
Website:
Map and Directions
Authorized official contact:
Name: Edmond, Diane
Phone: (203) 731-2207

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1023068087
LBN Legal business name Advanced Dermcare Pc
DBA Doing business as
Authorized official Edmond, Diane
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Mar 6th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023068087 NPPES
Connecticut MEDICAID 004395390

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