Dermatology Center Of Stamford, Llc

LBN: Dermatology Center Of Stamford, Llc
Dermatology Center Of Stamford, Llc is an health care organization with primary practice located at 1290 Summer St Suite 3600, Stamford CT 06905-5360. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dermatology Center Of Stamford, Llc can be contacted via phone (203) 325-3576, or through Pruzan-Clain, Debra via phone (203) 325-3576.

Contact Information

Primary practice address
1290 Summer St Suite 3600 Stamford CT 06905-5360
Fax: (203) 325-4280
Website:
Authorized official contact:
Name: Pruzan-Clain, Debra Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1356343883
LBN Legal business name Dermatology Center Of Stamford, Llc
DBA Doing business as
Authorized official Pruzan-Clain, Debra Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 13th, 2015 - about 9 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 1356343883 NPPES
Connecticut Other CF8653 RAILROAD MEDICARE

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