NPI 1003644402

Elite Dermatology Physicians PLLC

Organisation Dermatology Physician New Canaan, CT

Practice location

Address: 38 East Ave, New Canaan, CT 06840-5516
Phone: (415) 802-1310

Authorised official

Name: Ellen de Moll
Title: Owner
Phone: (203) 200-0523

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Connecticut →

Registry record

NPI: 1003644402
Entity type: Organization
NPI issued: 25 Jul 2024
Record last updated: 25 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.