NPI | 1003186651 |
---|---|
Doing Business As | DERMATOLOGY FOR THE FAMILY |
Entity Type | Organization |
Authorized Contact | CHARLES LUDVIG HALASZ Physician/Owner 203-853-1874 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 004551) |
Enumeration Date | 2012-01-12 |
Last Update Date | 2012-01-12 |