Individual
MS. GRACE L FEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 TAMARACK AVE, ADVANCED DERM CARE PC, DANBURY, CT 06811
(203) 797-8990
(203) 743-2199
Mailing address
25 TAMARACK AVE, ADVANCED DERM CARE PC, DANBURY, CT 06811
(203) 797-8990
(203) 743-2199
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
033025
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1330258
—
CT
Enumeration date
05/15/2006
Last updated
03/21/2012
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