Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Dermatology LLC

Organization Registered Nurse · NPI 1609892298

Advanced Dermatology LLC is a Registered Nurse in Norwich, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Salem Tpke Ste 7
Norwich, CT 06360-6459
Phone: (860) 859-2262
Fax: (860) 859-9819
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 038560 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 002932 (CT)

Record details

NPI number1609892298
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Howard Rogers — Owner · (860) 859-2262
NPI enumeratedJuly 15, 2006
Last updated in NPPESAugust 18, 2008
Mailing address111 Salem Tpke, Suite 7, Norwich, CT 06360-6459

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