NPI 1992879795

Southern Connecticut Dermatology, P.C.

Organisation Dermatology Physician Stamford, CT

Practice location

Address: 1275 Summer Street Suite 101, Stamford, CT 06905
Phone: (203) 323-5660
Fax: (203) 323-8224

Authorised official

Name: Robin D. Evans
Title: Owner
Phone: (203) 323-5660

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 030597 (CT)

Other Dermatology providers in Connecticut →

Registry record

NPI: 1992879795
Entity type: Organization
NPI issued: 20 Nov 2006
Record last updated: 13 Mar 2012

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.