Seaport Dermatology

LBN: John R. West Md Inc
Seaport Dermatology is an health care organization with primary practice located at 34 Water St Suite 2, Mystic CT 06355-2524. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as the primary health care specialty. John R. West Md Inc can be contacted via phone (860) 572-9994, or through West, John Robert via phone (860) 572-9994.

Contact Information

Primary practice address
34 Water St Suite 2 Mystic CT 06355-2524
Phone: (860) 572-9994
Fax: (860) 572-9930
Website:
Map and Directions
Authorized official contact:
Name: West, John Robert Doctor of Medicine (MD)
Phone: (860) 572-9994

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X

Profile Details

NPI number 1376575324
LBN Legal business name John R. West Md Inc
DBA Doing business as Seaport Dermatology
Authorized official West, John Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 6th, 2013 - about 11 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 1376575324 NPPES
Connecticut Other 010044204CT01 BLUE CROSS BLUE SHIELD

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