Center For Skin Surgery & Dermatology, Pllc

LBN: Center For Skin Surgery & Dermatology, Pllc
Center For Skin Surgery & Dermatology, Pllc is an health care organization with primary practice located at 2928 Main St Ste 100 , Glastonbury CT 06033-1007. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is the primary health care specialty. Center For Skin Surgery & Dermatology, Pllc can be contacted via phone (860) 633-2332, or through Giglio, Christine via phone (860) 676-1900.

Contact Information

Primary practice address
2928 Main St Ste 100 Glastonbury CT 06033-1007
Fax: (860) 633-2352
Website:
Authorized official contact:
Name: Giglio, Christine

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 040694 Connecticut
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 040694 Connecticut

Profile Details

NPI number 1407374481
LBN Legal business name Center For Skin Surgery & Dermatology, Pllc
DBA Doing business as
Authorized official Giglio, Christine
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2017
Last updated Mar 7th, 2023 - about last year

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 1407374481 NPPES
Connecticut Other 040694 MEDICAL LICENSE
Connecticut Other 1790888584 MEDICAL LICENSE

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