Organization
ADULT & PEDIATRIC DERMATOLOGY SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY PETERSON (PRACTICING ADMINISTRATOR)
(203) 377-0639
Entity
Organization
Contact information
Practice address
162 KINGS HWY N, WESTPORT, CT 06880-2425
(203) 222-0198
Mailing address
162 KINGS HWY N, WESTPORT, CT 06880-2444
(203) 222-0198
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
11/14/2008
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