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Individual

MR. GRAEME M LIPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25 TAMARACK AVE, ADVANCED DERM CARE PC, DANBURY, CT 06811-4829
(203) 797-8990
(203) 748-7861
Mailing address
25 TAMARACK AVE, ADVANCED DERM CARE PC, DANBURY, CT 06811
(203) 797-8990
(203) 748-7861

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
040494
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001404946
CT
Enumeration date
05/11/2006
Last updated
01/28/2015
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