NPI 1952897704

Integrated Dermatology of Bridgeport, PLLC

Organisation Dermatology Physician Bridgeport, CT

Practice location

Address: 4639 Main St, Bridgeport, CT 06606-1832
Phone: (203) 374-5546
Fax: (203) 371-4056
Mailing address: 4700 Exchange CT STE 110, Boca Raton, FL 33431-4450

Authorised official

Name: Adam S. Plotkin
Title: Authorized Group Official
Phone: (561) 314-2000

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Connecticut →

Registry record

NPI: 1952897704
Entity type: Organization
NPI issued: 5 Jul 2018
Record last updated: 15 Jan 2019

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.