OrganizationActive
Elite Dermatology Physicians PLLC
NPI 1003644402 · Dermatology Physician · New Canaan, CT
Provider details
- NPI number
- 1003644402
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ellen De Moll, Owner(203) 200-0523
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
38 East Ave
New Canaan, CT 06840-5516
Phone: (415) 802-1310
Approximate (ZIP-level) locationGet directions
Mailing address
38 East Ave
New Canaan, CT 06840-5516
Registry dates
- Enumerated
- 2024-07-25
- Last updated
- 2024-07-25
- Certified
- 2024-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.