Gohara, Mona A
Gohara, Mona A 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. Gohara, Mona A 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) 748-7861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 043192 | Connecticut |
Profile Details
| NPI number | 1679523450 |
|---|---|
| LBN Legal business name | Gohara, Mona A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jan 28th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679523450 | NPPES |
| Connecticut | MEDICAID | 001431923 |
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