Integrated Dermatology Of Enfield, Llc

LBN: Integrated Dermatology Of Enfield, Llc
Integrated Dermatology Of Enfield, Llc is an health care organization with primary practice located at 714 Hopmeadow St Ste 5 , Simsbury CT 06070-2234. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Integrated Dermatology Of Enfield, Llc can be contacted via phone (860) 741-2225, or through Queen, Jeffrey D via phone (561) 314-2000.

Contact Information

Primary practice address
714 Hopmeadow St Ste 5 Simsbury CT 06070-2234
Phone: (860) 741-2225
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Queen, Jeffrey D
Phone: (561) 314-2000

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1134544661
LBN Legal business name Integrated Dermatology Of Enfield, Llc
DBA Doing business as
Authorized official Queen, Jeffrey D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2014
Last updated Jan 14th, 2019 - about 7 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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