THE DERMATOLOGY CENTER OF CONNECTICUT, LLC
NPI 1922633213
Dermatology in Wallingford, CT

Active since March 06, 2020
60 CHURCH ST UNIT 4B, WALLINGFORD, CT 06492(203) 907-8474 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About The Dermatology Center Of Connecticut, Llc NPPES

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

THE DERMATOLOGY CENTER OF CONNECTICUT, LLC (NPI 1922633213) is a healthcare organization registered as a dermatology in Wallingford, Connecticut and active in the NPI registry since March 2020. The organization lists Kimberly Ellen Boldon, Owner, as its authorized official.

NPPES Registry Identity

NPI1922633213
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTHE DERMATOLOGY CENTER OF CONNECTICUT, LLC
Location Address60 CHURCH ST UNIT 4BWallingford, CT 06492-2340
Mailing Address1790 Cheshire StCheshire, CT 06410-1237
Organization SubpartNo
Authorized OfficialKimberly Ellen BoldonOwner · (203) 907-8474
Enumeration DateMarch 6, 2020
NPPES CertifiedMarch 6, 2020
NPI 1922633213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
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 and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
60 CHURCH ST UNIT 4B, Wallingford, CT 06492

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

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 The Dermatology Center Of Connecticut, LLC's NPI number?

The NPI number for The Dermatology Center Of Connecticut, LLC is 1922633213. It was assigned to this organization in the NPPES registry on March 6, 2020.

Where is The Dermatology Center Of Connecticut, LLC located?

The Dermatology Center Of Connecticut, LLC is located at 60 Church St Unit 4B, Wallingford, CT 06492. The listed phone number is (203) 907-8474.

What is The Dermatology Center Of Connecticut, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for The Dermatology Center Of Connecticut, LLC was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.