Organization
ADVANCED DERMATOLOGY & LASER CENTER, LLC
Active
Other names
Westport Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA FUTORYAN MD (MEDICAL DIRECTOR)
(203) 226-3600
Entity
Organization
Contact information
Practice address
489 POST ROAD EAST, WESTPORT, CT 06880
(203) 226-3600
(203) 226-2555
Mailing address
489 POST ROAD EAST, WESTPORT, CT 06880
(203) 226-3600
(203) 226-2555
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
035123
CT
Other
Enumeration date
07/23/2006
Last updated
02/06/2013
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