NPI 1831807973

Mdlive Medical Group PA

Organisation Dermatology Physician Bloomfield, CT

Practice location

Address: 900 Cottage Grove Rd, Bloomfield, CT 06002-2920
Phone: (800) 400-6354
Mailing address: PO Box 5006, Hartford, CT 06102-5006

Authorised official

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

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Connecticut →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1831807973
Entity type: Organization
NPI issued: 8 Nov 2022
Record last updated: 4 May 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.