Organization
DERMATOLOGY PHYSICIANS OF CONNECTICUT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOYD S GODWIN MD (PRESIDENT)
(203) 856-6373
Entity
Organization
Contact information
Practice address
4 CORPORATE DR, STE 386, SHELTON, CT 06484-6211
(203) 856-6373
(203) 957-3536
Mailing address
4 CORPORATE DR, STE 386, SHELTON, CT 06484-6211
(203) 856-6373
(203) 957-3536
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
040226
CT
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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