Organization
CONNECTICUT DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE MALANE (MEMBER/OWNER)
(203) 272-3376
Entity
Organization
Contact information
Practice address
1781 HIGHLAND AVE, CHESHIRE, CT 06410-1254
(203) 272-3376
(203) 272-9539
Mailing address
1781 HIGHLAND AVE, CHESHIRE, CT 06410-1254
(203) 272-3376
(203) 272-9539
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CT
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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