Federman, Grace L

Federman, Grace L is an individual health care provider with primary practice located at 25 Tamarack Ave Advanced Derm Care Pc, Danbury CT 06811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Federman, Grace L can be contacted via phone (203) 797-8990.

Contact Information

Primary practice address
25 Tamarack Ave Advanced Derm Care Pc Danbury CT 06811
Phone: (203) 797-8990
Fax: (203) 743-2199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 033025 Connecticut

Profile Details

NPI number 1033160924
LBN Legal business name Federman, Grace L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Mar 21st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033160924 NPPES
Connecticut MEDICAID 1330258

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