Organization
SKIN CANCER CENTER OF FAIRFIELD COUNTY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW HERBST M.D. (OWNER)
(917) 821-3079
Entity
Organization
Contact information
Practice address
148 EAST AVE STE 3B, NORWALK, CT 06851-5726
(917) 821-3079
Mailing address
148 EAST AVE STE 3B, NORWALK, CT 06851-5726
(917) 821-3079
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
044188
CT
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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