NPI 1518605955

Mdlive Medical Group de PA

Organisation Dermatology Physician Bloomfield, CT

Practice location

Address: 900 Cottage Grove Rd, Bloomfield, CT 06002-2920
Phone: (800) 400-6354
Mailing address: 3350 SW 148th Ave STE 300, Miramar, FL 33027-3259

Authorised official

Name: Sue-Ann Adrians
Title: Government Programs Pm
Phone: (945) 275-1345

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Connecticut →

Registry record

NPI: 1518605955
Entity type: Organization
NPI issued: 25 May 2022
Record last updated: 25 Feb 2026

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.