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Organization
DERMATOLOGY INSTITUTE & WELLNESS CENTER, LLC
Active
Organization
DERMATOLOGY INSTITUTE & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE CZERNIK MD (MANAGING MEMBER)
(203) 258-4594
Entity
Organization
Contact information
Practice address
396 DANBURY RD UNIT 6, WILTON, CT 06897-2024
(203) 966-6305
Mailing address
396 DANBURY RD UNIT 6, WILTON, CT 06897-2024
(203) 442-1800
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
—
NULL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
09/17/2021
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