OrganizationActive
Advanced Dermatology & Laser Center, LLC
NPI 1063433969 · Dermatology Physician · Westport, CT
Provider details
- NPI number
- 1063433969
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tanya Futoryan, Medical Director(203) 226-3600
- License
- 035123 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
489 Post Road East
Westport, CT 06880
Phone: (203) 226-3600
Fax: (203) 226-2555
Approximate (ZIP-level) locationGet directions
Mailing address
489 Post Road East
Westport, CT 06880
Other names (DBA / former)
- Doing business as
- Westport Dermatology
Registry dates
- Enumerated
- 2006-07-23
- Last updated
- 2013-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.