| NPI | 1063433969 |
|---|---|
| Doing Business As | WESTPORT DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | TANYA FUTORYAN Medical Director 203-226-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CT 035123) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2013-02-06 |