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DERMATOLOGY INSTITUTE & WELLNESS CENTER LLC NPI 1174101828


NPI Information

NPI: 1174101828
Provider Name: DERMATOLOGY INSTITUTE & WELLNESS CENTER, LLC
Classification: Dermatology - 207NI0002X
Entity Type: Organization

Specialization: Clinical & Laboratory Dermatological Immunology

Address:
396 DANBURY RD UNIT 6
WILTON, CT
ZIP 06897
Phone: (203) 966-6305
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DERMATOLOGY INSTITUTE & WELLNESS CENTER, LLC is a clinical and laboratory dermatological immunology dermatology in Wilton, CT. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. DERMATOLOGY INSTITUTE & WELLNESS CENTER, LLC NPI is 1174101828. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

396 DANBURY RD UNIT 6
WILTON, CT
ZIP 06897-024
Phone: (203) 966-6305

The provider's authorized official is Annette Czernik .
The authorized official title is Managing Member and has the following contact phone number (203) 258-4594.

The enumeration date for this NPI number is 4/1/2021 and was last updated on 9/17/2021.


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
1207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyYes

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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