SKINCARE PHYSICIANS OF FAIRFIELD COUNTY, LLC


Address: 2890 Main St, Suite C, Stratford, CT 06614
Phone: 2033758200

SKINCARE PHYSICIANS OF FAIRFIELD COUNTY, LLC (NPI# 1770531832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770531832
Entity Type Organization
Organization Name SKINCARE PHYSICIANS OF FAIRFIELD COUNTY, LLC
Practice Address 2890 Main St
Suite C
Stratford
CT 06614
Mailing Address 2890 Main St
Suite C
Stratford
CT 06614-4980
Practice Telephone 2033758200
Practice Fax Number 2033759424
Mailing Telephone 2033758200
Mailing Fax Number 2033759424
Enumeration Date 2006-05-04
Last Update Date 2018-05-22
Authorized Official Name DR. GAIL B. WHITMAN (PARTNER)
Authorized Official Telephone 2033758200
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 037360 CT Other Service Providers

Office Location

Street Address 2890 MAIN ST
SUITE C
City STRATFORD
State CT
Zip Code 06614

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871564237 Subasree Srinivasan Internal Medicine 2890 Main St, Stratford, CT 06614-4980 2006-02-01
1588150643 Sarah Knauf Nurse Practitioner 2890 Main St, Stratford, CT 06614 2018-07-02
1902279607 Primary Care Physicians of Stratford, LLC Pediatrics 2890 Main St, Suite 2a, Stratford, CT 06614-4980 2015-11-04
1134502701 Cynthia M Perez Physician Assistant 2890 Main St, Suite 2a, Stratford, CT 06614-4980 2015-07-01
1285956821 Erin Flynn Nurse Practitioner 2890 Main St, Ste 2a, Stratford, CT 06614-4980 2010-02-24
1497970826 Primary Care Associates,pc Internal Medicine 2890 Main St, Ste 2a, Stratford, CT 06614-4980 2007-04-13
1588607386 Pietro G Andres Internal Medicine 2890 Main St, Stratford, CT 06614-4980 2006-06-13
1649219221 Gregory N. Soloway Internal Medicine 2890 Main St, Stratford, CT 06614-4980 2006-06-06
1548209125 Andrew Bedford Internal Medicine 2890 Main St, Stratford, CT 06614-4980 2006-06-06
1811936461 Howard L Taubin Internal Medicine 2890 Main St, Stratford, CT 06614-4980 2006-06-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588139604 David A Crosby Physician Assistant 125 Pumpkin Ground Road, Stratford, CT 06614 2018-10-04
1710489232 Karen Marie Laconte Naturopath 720 Hilltop Dr, Stratford, CT 06614 2018-02-28
1972024693 Amanda Wilson Social Worker 60 Edmund Street, Stratford, CT 06614 2017-07-03
1558801423 Kristine Lynn Conlan Physical Therapist 55 Pasadena Ave., Stratford, CT 06614 2017-02-27
1811440258 Seokwon Kwon Dentist 320 Boston Ave, Stratford, CT 06614 2016-08-02
1093176141 Kathleen G Domek Technician/Technologist 150 Barnum Avenue Cut Off, Stratford, CT 06614 2016-03-17
1417328634 Kelley Machado Social Worker 2127 Nichols Ave, Stratford, CT 06614 2015-10-14
1043629553 Jennifer Woods-mesquita Social Worker 125 Greenlawn Ave, Stratford, CT 06614 2014-08-08
1437564010 Jose R. Pacheco Obstetrics & Gynecology 120 Brightwood Ave, Stratford, CT 06614 2014-06-23
1740612829 Stanley Brovender General Practice 773b Pontiac Lane, Stratford, CT 06614 2013-07-31
Find all providers in zip 06614

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013422591 Connecticut Orthopaedic Specialists, PC Specialist 2499 Main St Ste 6, Stratford, CT 06615-5843 2017-12-06
1285985598 Cheryl Sims Specialist 178 Larkin Ct, Stratford, CT 06615-7464 2012-09-26
1174763957 Harry Ma Specialist 495 Hawley Lane, Suite 2a, Stratford, CT 06614 2009-03-06
1609092121 Internal Medicine and Infectious Disease Associated P.C. Specialist 3241 Main Street, Suite B, Stratford, CT 06614 2007-04-17
1427142041 Anita Marie Delucia-willette Specialist 6900 Main Street, M/s S515a, Stratford, CT 06615 2006-10-03
1225006208 Monique Higginbotham Specialist 42 E Laurel Rd Ste 1100, Stratford, NJ 08084-1354 2006-03-08
1588058358 Pauline Sims Specialist 178 Larkin Ct, Stratford, CT 06615-7464 2015-03-19
1972897569 The Orthopaedic & Sports Medicine Center Specialist 2499 Main St, Stratford, CT 06615-5843 2011-06-01
1366621815 Fairfield County Women's Health Associates, P.C. Specialist 2590 Main St, Stratford, CT 06615-5838 2007-11-01
1275657223 Ninrong Xue Giebisch Specialist 200 Watson Blvd, Stratford, CT 06615-7127 2007-03-16
Find all providers in STRATFORD

Competitor

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City STRATFORD
Zip Code 06614

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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