D'VINE MEDICAL SPA LLC NPI 1598199135

NPI Information

NPI: 1598199135
Provider Name: D'VINE MEDICAL SPA, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
590 MIDDLEBURY RD
SUITE 1
MIDDLEBURY, CT
ZIP 06762
Phone: (203) 232-0208
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D'VINE MEDICAL SPA, LLC is a specialist in Middlebury, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. D'VINE MEDICAL SPA, LLC NPI is 1598199135. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

590 MIDDLEBURY RD
SUITE 1
MIDDLEBURY, CT
ZIP 06762-562
Phone: (203) 232-0208

The provider's authorized official is Nadine Macaron .
The authorized official title is Partner and has the following contact phone number (203) 232-0208.

The enumeration date for this NPI number is 8/31/2013 and was last updated on 10/22/2013.

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
1	174400000X	Specialist				Yes

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

NPI Synchronization or Removal

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