NPI 1538415369

Skin Docs, LLC

Organisation Family Medicine Physician Fairfield, CT

Practice location

Address: 2321 Black Rock Tpke Hall 2, Fairfield, CT 06825-3220
Phone: (404) 805-2290
Fax: (203) 372-0506

Authorised official

Name: Louis Mazzella
Title: Sole Member
Phone: (404) 805-2290

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Connecticut →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Connecticut →

Registry record

NPI: 1538415369
Entity type: Organization
NPI issued: 30 Jul 2012
Record last updated: 19 Sep 2014

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.