Organization
ASSOCIATES IN DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE JANE PESCE MD (MD CO OWNER)
(203) 372-8949
Entity
Organization
Contact information
Practice address
4699 MAIN STREET, SUITE 212, BRIDGEPORT, CT 06606
(203) 372-8949
(203) 374-9296
Mailing address
4699 MAIN STREET, SUITE 212, BRIDGEPORT, CT 06606
(203) 372-8949
(203) 374-9296
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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