Organization
DERMATOLOGY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALAD S KAHAN MD (PRESIDENT)
(203) 847-1500
Entity
Organization
Contact information
Practice address
40 CROSS ST, SUITE 340, NORWALK, CT 06851-4647
(203) 847-1500
(203) 845-8764
Mailing address
40 CROSS ST, SUITE 340, NORWALK, CT 06851-4647
(203) 847-1500
(203) 845-8764
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50DERMCTRCT01
ANTHEM BLUE SHIELD
CO
Enumeration date
02/12/2007
Last updated
01/23/2008
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