1790800480 NPI number — CRV DERMATOLOGY LLC

Table of content: (NPI 1790800480)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790800480 NPI number — CRV DERMATOLOGY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CRV DERMATOLOGY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790800480
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
113 ELM ST
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
ENFIELD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06082-3700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-741-2225
Provider Business Mailing Address Fax Number:
860-741-2229

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
113 ELM ST
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
ENFIELD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06082-3700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-741-2225
Provider Business Practice Location Address Fax Number:
860-741-2229
Provider Enumeration Date:
03/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HAVILAND
Authorized Official First Name:
DARLENE
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
PRESIDENT OWNER
Authorized Official Telephone Number:
860-741-2225

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  001494 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2051095 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9748130 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".




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