Organization
FARMINGTON VALLEY DERMATOLOGY AND SURGERY, LLC
Active
Organization
FARMINGTON VALLEY DERMATOLOGY AND SURGERY, LLC
Active
Parent organization
FARMINGTON VALLEY DERMATOLOGY & SURGERY
Other names
FARMINGTON VALLEY DERMATOLOGY &SURGERY, FVDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
FARMINGTON VALLEY DERMATOLOGY & SURGERY
Authorized official
SADAF WAQAR DO (OWNER/PROVIDER)
(860) 674-9900
Entity
Organization
Contact information
Practice address
2400 TAMARACK AVE STE 203, SOUTH WINDSOR, CT 06074-5559
(860) 674-9900
Mailing address
30 W AVON RD, AVON, CT 06001-3678
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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