Organization
TULLA PEREZ INC
Active
Other names
Advanced Dermaesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARITZA IVONNE PEREZ MD (PRESIDENT)
(203) 984-3101
Entity
Organization
Contact information
Practice address
39 PINE ST, NEW CANAAN, CT 06840-5409
(203) 972-7546
(203) 972-5937
Mailing address
38 TOMMYS LN, NEW CANAAN, CT 06840-6332
(203) 972-3802
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
27844
CT
261QH0100X
Health Service Clinic/Center
27844
CT
Other
Enumeration date
08/20/2013
Last updated
04/11/2018
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