Eugene Mirrer in Waterbury - Dermatology

Eugene Mirrer - NPI 1619070646

Eugene Mirrer is a Dermatology in Waterbury, Connecticut. Eugene Mirrer practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Eugene Mirrer is 1619070646. The last update date is 2023-03-07.

Eugene Mirrer's current location address is 171 Grandview Ave, Waterbury, Connecticut. You can contact this provider via phone number 2037578919 and fax number 2037564697. The mailing address for Eugene Mirrer is 171 Grandview Ave, Waterbury, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Eugene Mirrer
Address 171 Grandview Ave, Waterbury, Connecticut
Phone Number 2037578919
Fax Number 2037564697
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619070646
Provider Enumeration Date 2006-09-06
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 171 Grandview Ave
City Waterbury
State Connecticut (CT)
Post Code 67082517
Phone Number 2037578919
Fax Number 2037564697

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 14739
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
70000161 CT MEDICARE PROVIDER ID#
368 ST CONTROLLED SUB

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FAQs about Eugene Mirrer

What is the Eugene Mirrer's unique identification number?

The Eugene Mirrer has been assigned the NPI (National Provider Identifier) Number 1619070646 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 Eugene Mirrer?

The Eugene Mirrer is situated at 171 Grandview Ave, in the city of Waterbury, state of CT, with the zip code 67082517.

What is Eugene Mirrer's specialized field of practice, and what is the corresponding taxonomy classification code?

The Eugene Mirrer's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.

On what date was the 1619070646 assigned to Eugene Mirrer?

The Eugene Mirrer was issued its 1619070646 on 2006-09-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Eugene Mirrer most recently updated or refreshed?

The details pertaining to the Eugene Mirrer, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.

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