NPI 1992563902
Farmington Valley Dermatology and Surgery, LLC
Practice location
- Address
- 2400 Tamarack Ave STE 203, South Windsor, CT 06074-5559
- Phone
- (860) 674-9900
- Mailing address
- 30 W Avon Rd, Avon, CT 06001-3678
Authorised official
- Name
- Sadaf Waqar
- Title
- Owner/Provider
- Phone
- (860) 674-9900
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1992563902
- Entity type
- Organization
- NPI issued
- 13 Mar 2024
- Record last updated
- 13 Mar 2024
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.