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Organization

INTEGRATED DERMATOLOGY OF ENFIELD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY D QUEEN (MANAGER)
(561) 314-2000
Entity
Organization

Contact information

Practice address
714 HOPMEADOW ST STE 5, SIMSBURY, CT 06070-2234
(860) 741-2225
(860) 651-1404
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 314-2000
(860) 651-1404

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
207N00000X
Dermatology Physician
Primary
363A00000X
Physician Assistant

Other

Enumeration date
02/20/2014
Last updated
06/11/2025
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