NPI 1578362380

Dermasology

Organisation Other Specialist/Technologist Glastonbury, CT

Practice location

Address: 39 New London Tpke STE 218, Glastonbury, CT 06033-4208
Phone: (407) 982-4876

Authorised official

Name: Jennifer Williams
Title: Administrator
Phone: (407) 982-4876

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X

Other Specialist/Technologist, Other providers in Connecticut →

Registry record

NPI: 1578362380
Entity type: Organization
NPI issued: 12 Mar 2025
Record last updated: 21 Aug 2025

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.