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CRV DERMATOLOGY LLC
NPI 1790800480
Physician Assistant in Enfield, CT

Active since March 20, 2007
113 ELM ST, SUITE 200, ENFIELD, CT 06082(860) 741-2225(860) 741-2229 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crv Dermatology Llc NPPES

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

CRV DERMATOLOGY LLC (NPI 1790800480) is a healthcare organization registered as a physician assistant in Enfield, Connecticut and active in the NPI registry since March 2007. The organization lists Darlene Marie Haviland, President Owner, as its authorized official.

NPPES Registry Identity

NPI1790800480
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameCRV DERMATOLOGY LLC
Location Address113 ELM ST, SUITE 200Enfield, CT 06082-3700
Mailing Address113 Elm St, Suite 200Enfield, CT 06082-3700 · (860) 741-2225 · Fax (860) 741-2229
Phone(860) 741-2225
Fax(860) 741-2229
Organization SubpartNo
Authorized OfficialDarlene Marie HavilandPresident Owner · (860) 741-2225
Enumeration DateMarch 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790800480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CT · 001494
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
113 ELM ST, Enfield, CT 06082
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Other Identifiers 2

Medicaid2051095CT
Medicaid9748130CT

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCIS MAY
Counselor
113 ELM ST, SUITE 204
ENFIELD, CT 06082
Capitol Planning Region (860) 741-3001
STEPHANIE LARAMEE PT, DPT
Physical Therapist
113 ELM ST
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5196
BIO-MEDICAL APPLICATIONS OF CONNECTICUT, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
113 ELM ST
ENFIELD, CT 06082
Capitol Planning Region (860) 745-9800
ADVANCED ORTHOPEDICS NEW ENGLAND
Specialist
113 ELM ST, SUITE 203
ENFIELD, CT 06082
Capitol Planning Region (860) 728-6740
PTSMA, INC.
Clinic/Center (Physical Therapy)
113 ELM ST
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5196
MR. HAROLD S WRIGHT PA
Physician Assistant
113 ELM ST, SUITE 302
ENFIELD, CT 06082
Capitol Planning Region (860) 741-3069
NANCY H LINDBERG MD
Family Medicine
113 ELM ST, SUITE 302
ENFIELD, CT 06082
Capitol Planning Region (860) 741-3069
MEGAN WITWER PT
Physical Therapist
113 ELM ST
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5196

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 Crv Dermatology LLC's NPI number?

The NPI number for Crv Dermatology LLC is 1790800480. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Crv Dermatology LLC located?

Crv Dermatology LLC is located at 113 Elm St Suite 200, Enfield, CT 06082. The listed phone number is (860) 741-2225.

What is Crv Dermatology LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Crv Dermatology LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.