Tdg Connecticut Pllc

LBN: Tdg Connecticut Pllc
Tdg Connecticut Pllc is an health care organization with primary practice located at 134 Park St , New Haven CT 06511-5409. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Tdg Connecticut Pllc can be contacted via phone (973) 571-2121, or through Samaha, Simon via phone (973) 571-2121.

Contact Information

Primary practice address
134 Park St New Haven CT 06511-5409
Fax: (973) 498-0512
Website:
Authorized official contact:
Name: Samaha, Simon Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1245744846
LBN Legal business name Tdg Connecticut Pllc
DBA Doing business as
Authorized official Samaha, Simon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2017
Last updated Nov 30th, 2017 - 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.

Request for update

Popular Providers