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

Farmington Valley Dermatology and Surgery, LLC

Organization Dermatology Physician · NPI 1164835153

Farmington Valley Dermatology and Surgery, LLC is a Dermatology Physician in Avon, Connecticut. Works from 2 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2014
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

30 W Avon Rd Ste E
Avon, CT 06001-3678
Phone: (860) 674-9900
Fax: (860) 678-0036
Show map & directions

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

Additional practice locations (1)

  • 2400 Tamarack Ave Ste 203, South Windsor, CT 06074-5559 — (860) 674-9900

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 53002 (CT)
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1164835153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sadaf Waqar — Owner · (860) 674-9900
NPI enumeratedJune 6, 2014
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024
Mailing address30 W Avon Rd Ste E, Avon, CT 06001-3678

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