Organization
ON SITE DERMATOLOGY OF CONNECTICUT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY QUEEN (ADMINISTRATOR)
(561) 314-2000
Entity
Organization
Contact information
Practice address
1343 BOSTON POST RD APT 101, MADISON, CT 06443-3481
(877) 345-5300
(561) 989-3665
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 314-2000
(561) 431-2821
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
03/29/2024
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