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DERMATOLOGY SURGICAL ASSOCIATES LLC NPI 1588859946


NPI Information

NPI: 1588859946
Provider Name: DERMATOLOGY SURGICAL ASSOCIATES, LLC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
499 FARMINGTON AVE
SUITE 230
FARMINGTON, CT
ZIP 06032
Phone: (860) 676-1900
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DERMATOLOGY SURGICAL ASSOCIATES, LLC is a mohs-micrographic surgery dermatology in Farmington, CT. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DERMATOLOGY SURGICAL ASSOCIATES, LLC NPI is 1588859946. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

499 FARMINGTON AVE
SUITE 230
FARMINGTON, CT
ZIP 06032-933
Phone: (860) 676-1900
Fax: (860) 409-0602

The provider's authorized official is Timothy Kyle Chartier .
The authorized official title is Physician and has the following contact phone number (860) 676-1900.

The enumeration date for this NPI number is 9/10/2007 and was last updated on 11/23/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic Surgery039399CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C03194OTHERCONNECTICUTMEDICARE GROUP NUMBER
23672726OTHERCONNECTICUTAETNA
39835320OTHERCONNECTICUTCIGNA
42000464OTHERCONNECTICUTUNITED HEALTH CARE
5H14745MEDICARE UPINCONNECTICUT
6010039399CT02OTHERCONNECTICUTANTHEM BLUE CROSS/BLUE SH
72V5362OTHERCONNECTICUTHEALTH NET
8039399OTHERCONNECTICUTCONNECTICARE
9P2392298OTHERCONNECTICUTOXFORD
10070000485MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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