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MODERN DERMATOLOGY PC NPI 1497258719


NPI Information

NPI: 1497258719
Provider Name: MODERN DERMATOLOGY PC
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 07D2205250

Address:
1032 POST RD E
WESTPORT, CT
ZIP 06880
Phone: (203) 635-0770
Get Directions

MODERN DERMATOLOGY PC is a dermatology in Westport, CT. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. MODERN DERMATOLOGY PC NPI is 1497258719. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1032 POST RD E
WESTPORT, CT
ZIP 06880
Phone: (203) 635-0770
Fax: (203) 635-0771

The provider's authorized official is Ina King .
The authorized official title is Office Manager and has the following contact phone number (201) 294-5841.

The CLIA number assigned to this NPI record is 07D2205250 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/13/2018 and was last updated on 7/18/2018.


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
1207N00000XDermatology049946CONNECTICUTYes

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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