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Individual

DR. FERN ELLEN MAYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
260 LONG RIDGE RD STE 180, STAMFORD, CT 06902-1638
(203) 969-0123
(203) 975-0760
Mailing address
260 LONG RIDGE RD STE D180, STAMFORD, CT 06902-1638
(203) 969-0123
(203) 975-0760

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
030709
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
061398151
TAX ID#
Enumeration date
09/27/2005
Last updated
11/12/2024
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