Organization
LONG RIDGE DERMATOLOGY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATTY QUICK CPC (OFFICE MANAGER)
(203) 329-7960
Entity
Organization
Contact information
Practice address
1051 LONG RIDGE RD, STAMFORD, CT 06903-4436
(203) 329-7960
(203) 329-7920
Mailing address
1051 LONG RIDGE RD, STAMFORD, CT 06903-4436
(203) 329-7960
(203) 329-7920
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
035805
CT
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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