NPI 1023295524

Fairfield Dermatology, P.C.

Organisation Specialist Fairfield, CT

Practice location

Address: 1305 Post Rd 310, Fairfield, CT 06824-6016
Phone: (203) 259-7709
Fax: (203) 255-3585

Authorised official

Name: Ivan S. Cohen
Title: President
Phone: (203) 259-7709

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 14371 (CT)

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Registry record

NPI: 1023295524
Entity type: Organization
NPI issued: 28 Jan 2008
Record last updated: 3 Oct 2018

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.