Fairfield Dermatology, P.C.

LBN: Fairfield Dermatology, P.C.
Fairfield Dermatology, P.C. is an health care organization with primary practice located at 1305 Post Rd 310, Fairfield CT 06824-6016. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Fairfield Dermatology, P.C. can be contacted via phone (203) 259-7709, or through Cohen, Ivan S. via phone (203) 259-7709.

Contact Information

Primary practice address
1305 Post Rd 310 Fairfield CT 06824-6016
Phone: (203) 259-7709
Fax: (203) 255-3585
Website:
Map and Directions
Authorized official contact:
Name: Cohen, Ivan S. Doctor of Medicine (MD)
Phone: (203) 259-7709

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14371 Connecticut

Profile Details

NPI number 1023295524
LBN Legal business name Fairfield Dermatology, P.C.
DBA Doing business as
Authorized official Cohen, Ivan S. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2008
Last updated Oct 3rd, 2018 - about 8 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 1023295524 NPPES
Connecticut Other C02974 MEDICARE GROUP

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