Organization · Type 2 NPI

Farmington Valley Dermatology and Surgery, LLC

Non-Pharmacy Dispensing Site · South Windsor, CT

NPI number 1992563902 Active

Practice location

2400 Tamarack Ave Ste 203
South Windsor, CT 06074-5559

Call (860) 674-9900 Map

Mailing address

30 W Avon Rd
Avon, CT 06001-3678

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Another provider at this address

Nicole Pipitone, LPCProfessional Counselor South Windsor, CT NPI 1114336757

NPI record

NPI: 1992563902
Entity type: Organization (Type 2)
Issued: Mar 13, 2024
Last updated: Mar 13, 2024
Status: Active
Subpart: Yes of Farmington Valley Dermatology & Surgery

Other names

Farmington Valley Dermatology &surgery · former legal business name
FVDS · former legal business name

Authorized official

Sadaf Waqar, DO
Owner/provider
(860) 674-9900

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About NPI 1992563902

Farmington Valley Dermatology and Surgery, LLC's National Provider Identifier is 1992563902, issued on Mar 13, 2024. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in South Windsor, CT. The record was last updated on Mar 13, 2024.