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 |