Dermatology Associates Of Southeastern Connecticut, P.C.
LBN: Dermatology Associates Of Southeastern Connecticut, P.C.
Dermatology Associates Of Southeastern Connecticut, P.C. is an health care organization with primary practice located at 425 Montauk Ave , New London CT 06320-4642. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Dermatology Associates Of Southeastern Connecticut, P.C. can be contacted via phone (860) 442-1346, or through Wiles, John Christopher via phone (806) 442-1346.
Contact Information
Primary practice address
425 Montauk Ave
New London CT 06320-4642
Phone: (860) 442-1346
Fax: (860) 444-6208
Website:
Authorized official contact:
Name: Wiles, John Christopher Doctor of Medicine (MD)
Phone: (806) 442-1346
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X |
Profile Details
| NPI number | 1346306289 |
|---|---|
| LBN Legal business name | Dermatology Associates Of Southeastern Connecticut, P.C. |
| DBA Doing business as | |
| Authorized official | Wiles, John Christopher Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346306289 | NPPES |
| Connecticut | MEDICAID | 4090841 |
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