Whalio Doctors

NPI 1619070646

Eugene Mirrer, MD

Practitioner Dermatology Physician Waterbury, CT

Practice location

Address
171 Grandview Ave Suite 103, Waterbury, CT 06708-2517
Phone
(203) 757-8919
Fax
(203) 756-4697

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 014739 (CT)

Registry record

NPI
1619070646
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Sep 2006
Record last updated
7 Mar 2023

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.