NPI 1245744846

Tdg Connecticut PLLC

Organisation Dermatology Physician New Haven, CT

Practice location

Address: 134 Park St, New Haven, CT 06511-5409
Phone: (973) 571-2121
Fax: (973) 498-0512
Mailing address: 347 Mount Pleasant Ave STE 205, West Orange, NJ 07052-2749

Authorised official

Name: Simon Samaha
Title: Ceo
Phone: (973) 571-2121

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Connecticut →

Registry record

NPI: 1245744846
Entity type: Organization
NPI issued: 20 Nov 2017
Record last updated: 30 Nov 2017

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.