NPI 1043378508

Essex Dermatology LLC

Organisation Dermatology Physician Essex, CT

Practice location

Address: 20 Saybrook Road, Essex, CT 06426-1401
Phone: (860) 767-9998
Fax: (860) 767-9161

Authorised official

Name: Virginia L Maher Wiese
Title: Owner
Phone: (860) 767-9998

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Connecticut →

Registry record

NPI: 1043378508
Entity type: Organization
NPI issued: 5 Dec 2006
Record last updated: 15 Nov 2012

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.