NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1588136220
INTEGRATED DERMATOLOGY OF WATERBURY, LLC
4700 EXCHANGE CT STE 110
BOCA RATON
FL
334314450
1023015542
ALTER
JEFFREY
N
1078 W MAIN ST
WATERBURY
CT
067082651
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