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SKIN DOCS LLC NPI 1538415369


NPI Information

NPI: 1538415369
Provider Name: SKIN DOCS, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2321 BLACK ROCK TPKE
HALL 2
FAIRFIELD, CT
ZIP 06825
Phone: (404) 805-2290
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SKIN DOCS, LLC is a family medicine in Fairfield, CT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SKIN DOCS, LLC NPI is 1538415369. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2321 BLACK ROCK TPKE
HALL 2
FAIRFIELD, CT
ZIP 06825-220
Phone: (404) 805-2290
Fax: (203) 372-0506

The provider's authorized official is Louis Mazzella .
The authorized official title is Sole Member and has the following contact phone number (404) 805-2290.

The enumeration date for this NPI number is 7/30/2012 and was last updated on 9/19/2014.


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
1208600000XSurgeryCONNECTICUTNo
2207Q00000XFamily MedicineCONNECTICUTYes

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: 4/28/2024

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