Organization · Type 2 NPI

Mdlive Medical Group Nm, LLC

Dermatology Physician · Bloomfield, CT

NPI number 1174201156 Active

Practice location

900 Cottage Grove Rd
Bloomfield, CT 06002-2920

Call (800) 400-6354 Map

Mailing address

PO Box 5006
Hartford, CT 06102-5006

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1174201156

Mdlive Medical Group Nm, LLC's National Provider Identifier is 1174201156, issued on Jul 10, 2023. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Bloomfield, CT. The record was last updated on Apr 10, 2026.