Organization
DERMATOLOGY ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JEFFREY GOLDSTEIN M.D. (PRESIDENT/PHYSICIAN)
(203) 787-4171
Entity
Organization
Contact information
Practice address
1 LONG WHARF DR # 30, NEW HAVEN, CT 06511-5991
(203) 787-4171
Mailing address
1 LONG WHARF DR, 30, NEW HAVEN, CT 06511-5991
(203) 787-4171
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
025369
CT
Other
Enumeration date
07/10/2007
Last updated
09/08/2007
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