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CENTER FOR SKIN SURGERY & DERMATOLOGY, PLLC
NPI 1407374481
Dermatology - MOHS-Micrographic Surgery in Glastonbury, CT

Active since August 30, 2017CLIA 07D2032064 · Certificate of Compliance
2928 MAIN ST STE 100, GLASTONBURY, CT 06033(860) 633-2332(860) 633-2352 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Center For Skin Surgery & Dermatology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR SKIN SURGERY & DERMATOLOGY, PLLC (NPI 1407374481) is a healthcare organization registered as a mohs-micrographic surgery in Glastonbury, Connecticut and active in the NPI registry since August 2017. The organization holds a CLIA Certificate of Compliance certificate valid through October 25, 2026, maintains a secondary practice location in Farmington, and lists Christine Giglio, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1407374481
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameCENTER FOR SKIN SURGERY & DERMATOLOGY, PLLC
Location Address2928 MAIN ST STE 100Glastonbury, CT 06033-1007
Mailing Address2928 Main St Ste 100Glastonbury, CT 06033-1007 · (860) 633-2332 · Fax (860) 633-2352
Phone(860) 633-2332
Fax(860) 633-2352
Organization SubpartNo
Authorized OfficialChristine GiglioPractice Manager · (860) 676-1900
Enumeration DateAugust 30, 2017
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
✔ NPI 1407374481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in CT · 040694
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License 040694 (CT)
2928 MAIN ST STE 100, Glastonbury, CT 06033
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Secondary Practice Location 1

Location 1499 Farmington Ave Ste 230Farmington, CT 06032-1933 · Phone (860) 676-1900 · Fax (860) 409-0602

Other Identifiers 2

Other040694CT · Medical License
Other1790888584Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 07D2032064

Center For Skin Surgery And Dermatology PLLC · Glastonbury, CT
Active · expires Oct 25, 2026
CLIA Number07D2032064
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorSiobhan C. Collins
Laboratory Phone(860) 676-1900
Laboratory LocationCenter For Skin Surgery And Dermatology PLLC2928 Main St Ste 100, Glastonbury, CT 06033
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Skin Surgery & Dermatology, PLLC's NPI number?

The NPI number for Center For Skin Surgery & Dermatology, PLLC is 1407374481. It was assigned to this organization in the NPPES registry on August 30, 2017.

Where is Center For Skin Surgery & Dermatology, PLLC located?

Center For Skin Surgery & Dermatology, PLLC is located at 2928 Main St Ste 100, Glastonbury, CT 06033. The listed phone number is (860) 633-2332.

What is Center For Skin Surgery & Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Center For Skin Surgery & Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 07D2032064) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Center For Skin Surgery & Dermatology, PLLC was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.