NPI 1548454622

Jennie B Nally, MD

Practitioner Dermatology Physician Norwalk, CT

Practice location

Address: 761 Main Ave Suite 102, Norwalk, CT 06851-1080
Phone: (203) 810-4151
Fax: (203) 810-4150

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 045804 (CT)

Other Dermatology providers in Connecticut →

Registry record

NPI: 1548454622
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Aug 2007
Record last updated: 21 May 2009

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.