Advanced Dermatology Llc

LBN: Advanced Dermatology Llc
Advanced Dermatology Llc is an health care organization with primary practice located at 111 Salem Tpke Suite 7, Norwich CT 06360-6459. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Advanced Dermatology Llc can be contacted via phone (860) 859-2262, or through Rogers, Howard W. via phone (860) 859-2262.

Contact Information

Primary practice address
111 Salem Tpke Suite 7 Norwich CT 06360-6459
Phone: (860) 859-2262
Fax: (860) 859-9819
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Howard W. Doctor of Medicine (MD)
Phone: (860) 859-2262

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 002932 Connecticut
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 038560 Connecticut

Profile Details

NPI number 1609892298
LBN Legal business name Advanced Dermatology Llc
DBA Doing business as
Authorized official Rogers, Howard W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2006
Last updated Aug 18th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609892298 NPPES
Connecticut Other DB9913 MEDICARE RAILROAD
Connecticut Other 222316481 MEDICARE RAILROAD
Connecticut MEDICAID 004182680 MEDICARE RAILROAD

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