Fairfield Dermatology, P.C. in Fairfield - Specialist
Fairfield Dermatology, P.C. - NPI 1023295524
Fairfield Dermatology, P.C. is a Specialist in Fairfield, Connecticut. Fairfield Dermatology, P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Fairfield Dermatology, P.C. is 1023295524. The last update date is 2018-10-03.
Fairfield Dermatology, P.C.'s current location address is 1305 Post Rd, Fairfield, Connecticut. You can contact this provider via phone number 2032597709 and fax number 2032553585. The mailing address for Fairfield Dermatology, P.C. is 1305 Post Rd, Fairfield, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Fairfield Dermatology, P.C. |
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Address | 1305 Post Rd, Fairfield, Connecticut |
Phone Number | 2032597709 |
Fax Number | 2032553585 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Cohen S. Ivan |
Credentials | M.D. |
Telephone Number | 2032597709 |
NPI Number Detail
NPI Number | 1023295524 |
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Provider Enumeration Date | 2008-01-28 |
Last Updated Date | 2018-10-03 |
Provider Mailing Address Detail
Address | 1305 Post Rd |
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City | Fairfield |
State | Connecticut (CT) |
Post Code | 68246016 |
Phone Number | 2032597709 |
Fax Number | 2032553585 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 14371 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
C02974 | CT | MEDICARE GROUP |
Post Comment/ Review Below
What is the Fairfield Dermatology, P.C.'s unique identification number?
The Fairfield Dermatology, P.C. has been assigned the NPI (National Provider Identifier) Number 1023295524 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Fairfield Dermatology, P.C.?
The Fairfield Dermatology, P.C. is situated at 1305 Post Rd, in the city of Fairfield, state of CT, with the zip code 68246016.
What is the Fairfield Dermatology, P.C.'s specialty and taxonomy code?
The Fairfield Dermatology, P.C.'s specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023295524 to Fairfield Dermatology, P.C.?
The Fairfield Dermatology, P.C. received its 1023295524 assignment from the Centers for Medicare & Medicaid Services on 2008-01-28.
When was the information regarding Fairfield Dermatology, P.C. most recently updated?
The details pertaining to the Fairfield Dermatology, P.C., including its address, specialty, and other relevant information, were last refreshed on 2018-10-03.