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HARTFORD DERMATOLOGY ASSOCIATES PC NPI 1467588343


NPI Information

NPI: 1467588343
Provider Name: HARTFORD DERMATOLOGY ASSOCIATES PC
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
65 MEMORIAL RD
SUITE 450
WEST HARTFORD, CT
ZIP 06107
Phone: (860) 523-1087
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HARTFORD DERMATOLOGY ASSOCIATES PC is a procedural dermatology dermatology in West Hartford, CT. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). HARTFORD DERMATOLOGY ASSOCIATES PC NPI is 1467588343. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

65 MEMORIAL RD
SUITE 450
WEST HARTFORD, CT
ZIP 06107-434
Phone: (860) 523-1087
Fax: (860) 523-1472

The provider's authorized official is Janet L Weisner .
The authorized official title is Office Manager and has the following contact phone number (860) 523-1087.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 6/16/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural Dermatology031336CONNECTICUTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004394277MEDICAIDCONNECTICUT
2C00936MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUTMEDICARE GROUP NUMBER

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: 11/14/2023

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