Individual
DR. GRACE DOLORES BANDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 CORPORATE DR, SHELTON, CT 06484-6211
(203) 538-5682
Mailing address
4 CORPORATE DR, SHELTON, CT 06484-6211
(203) 538-5682
(203) 538-5685
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
47948
CT
207ND0900X
Dermatopathology Physician
47948
CT
Other
Enumeration date
05/15/2007
Last updated
04/20/2023
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