Organization
DERMATOLOGY IN HAMDEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER SHERLINE M.D. (BUSINESS MANAGER)
(860) 677-4539
Entity
Organization
Contact information
Practice address
2880 OLD DIXWELL AVE, HAMDEN, CT 06518-3144
(203) 288-5624
(203) 288-7782
Mailing address
2880 OLD DIXWELL AVE, HAMDEN, CT 06518-3144
(203) 288-5624
(203) 288-7782
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
035147
CT
261QM2500X
Medical Specialty Clinic/Center
035147
CT
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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