Organization
ADVANCED DERMATOLOGY CENTER, PC
Active
Other names
Ronald Jurzyk MD
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD S JURZYK MD (PRESIDENT)
(203) 879-6171
Entity
Organization
Contact information
Practice address
464 WOLCOTT RD, WOLCOTT, CT 06716-2626
(203) 879-6171
(203) 879-1191
Mailing address
464 WOLCOTT RD, WOLCOTT, CT 06716-2626
(203) 879-6171
(203) 879-1191
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
035267
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB0248
RAILROAD MEDICARE
CT
Enumeration date
11/02/2005
Last updated
01/11/2010
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