| NPI | 1013263847 |
|---|---|
| Doing Business As | CONNECTICUT SKIN INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | OMAR A IBRAHIMI Owner 203-428-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CT 049530) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2023-06-11 |