Organization
THE DERMATOLOGY CENTER OF CONNECTICUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ELLEN BOLDON (OWNER)
(203) 907-8474
Entity
Organization
Contact information
Practice address
60 CHURCH ST UNIT 4B, WALLINGFORD, CT 06492-2340
(203) 907-8474
Mailing address
1790 CHESHIRE ST, CHESHIRE, CT 06410-1237
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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