Organization
NEW PRESTON DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREAS BOKER MD (MEDICAL DIRECTOR)
(917) 902-0540
Entity
Organization
Contact information
Practice address
18 E SHORE RD, NEW PRESTON, CT 06777-1628
(484) 868-9998
(860) 393-1079
Mailing address
18 E SHORE RD, NEW PRESTON, CT 06777-1628
(484) 868-9998
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
06/24/2021
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