OrganizationActive
Advanced Dermatology LLC
NPI 1609892298 · Dermatology Physician · Norwich, CT
Provider details
- NPI number
- 1609892298
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Howard Rogers, Owner
- License
- 002932 (CT)
Practice location
111 Salem Tpke
Suite 7
Norwich, CT 06360-6459
Phone: (860) 859-2262
Fax: (860) 859-9819
Mailing address
111 Salem Tpke
Norwich, CT 06360-6459
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2008-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.