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Organization

HARTFORD DERMATOLOGY ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANET L WEISNER (OFFICE MANAGER)
(860) 523-1087
Entity
Organization

Contact information

Practice address
65 MEMORIAL RD, SUITE 450, WEST HARTFORD, CT 06107-2434
(860) 523-1087
(860) 523-1472
Mailing address
65 MEMORIAL RD, SUITE 450, WEST HARTFORD, CT 06107-2434
(860) 523-1087
(860) 523-1472

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
031336
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004394277
CT
Enumeration date
02/26/2007
Last updated
06/16/2009
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