Dermatology Surgical Associates, Llc

LBN: Dermatology Surgical Associates, Llc
Dermatology Surgical Associates, Llc is an health care organization with primary practice located at 499 Farmington Ave Suite 230, Farmington CT 06032-1933. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as the primary health care specialty. Dermatology Surgical Associates, Llc can be contacted via phone (860) 676-1900, or through Chartier, Timothy Kyle via phone (860) 676-1900.

Contact Information

Primary practice address
499 Farmington Ave Suite 230 Farmington CT 06032-1933
Fax: (860) 409-0602
Website:
Authorized official contact:
Name: Chartier, Timothy Kyle

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 039399 Connecticut

Profile Details

NPI number 1588859946
LBN Legal business name Dermatology Surgical Associates, Llc
DBA Doing business as
Authorized official Chartier, Timothy Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2007
Last updated Nov 23rd, 2011 - about 15 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 1588859946 NPPES
Connecticut Other 9835320 CIGNA
Connecticut Other 2V5362 CIGNA
Connecticut Other 039399 CIGNA
Connecticut Other 2000464 CIGNA
Connecticut Other C03194 CIGNA
Connecticut Other P2392298 CIGNA
Connecticut Other 3672726 CIGNA
Connecticut Other 010039399CT02 CIGNA

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