Provider Demographics
NPI:1770776569
Name:DERMATOLOGY IN CLINTON, LLP
Entity type:Organization
Organization Name:DERMATOLOGY IN CLINTON, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:H
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-669-6156
Mailing Address - Street 1:8 E MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CLINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06413-2058
Mailing Address - Country:US
Mailing Address - Phone:860-669-6156
Mailing Address - Fax:860-664-0285
Practice Address - Street 1:8 E MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:CLINTON
Practice Address - State:CT
Practice Address - Zip Code:06413-2058
Practice Address - Country:US
Practice Address - Phone:860-669-6156
Practice Address - Fax:860-664-0285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathologyGroup - Single Specialty