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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRV DERMATOLOGY LLC

Active Organization

CRV DERMATOLOGY LLC is a Physician Assistant organization located in ENFIELD, Connecticut. NPI 1790800480 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ENFIELD, CT

Registration Details

NPI Number
1790800480
Provider Type
Organization
NPI Issued
Mar 20, 2007 (19.396031364191 yrs)
Last Updated
Aug 22, 2020
License
001494 (CT)

Practice Information

Address
113 ELM ST
SUITE 200
ENFIELD, CT, 060823700
Browse CT providers · Browse ZIP 06082
Phone
8607412225
Fax
8607412229
Primary Specialty
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.