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Organization

ELITE DERMATOLOGY PHYSICIANS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLEN DE MOLL MD (OWNER)
(203) 200-0523
Entity
Organization

Contact information

Practice address
38 EAST AVE, NEW CANAAN, CT 06840-5516
(415) 802-1310
Mailing address
38 EAST AVE, NEW CANAAN, CT 06840-5516

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
07/25/2024
Last updated
07/25/2024
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