Organization
FARMINGTON VALLEY DERMATOLOGY AND SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SADAF WAQAR DO (OWNER)
(860) 674-9900
Entity
Organization
Contact information
Practice address
30 W AVON RD STE E, AVON, CT 06001-3678
(860) 674-9900
(860) 678-0036
Mailing address
30 W AVON RD STE E, AVON, CT 06001-3678
(561) 654-1789
(508) 304-7532
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
53002
CT
332900000X
Non-Pharmacy Dispensing Site
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Other
Enumeration date
06/06/2014
Last updated
03/14/2024
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