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

Mdlive Medical Group De PA

Organization Dermatology Physician · NPI 1518605955

Mdlive Medical Group De PA is a Dermatology Physician in Bloomfield, Connecticut. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 Cottage Grove Rd
Bloomfield, CT 06002-2920
Phone: (800) 400-6354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3350 Sw 148th Ave Ste 300, Miramar, FL 33027-3259 — (800) 400-6354

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1518605955
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMdlive Medical Group De PA
Authorized official Sue-Ann Adrians — Government Programs Pm · (945) 275-1345
Other names Mdlive Medical Group
NPI enumeratedMay 25, 2022
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address3350 Sw 148th Ave Ste 300, Miramar, FL 33027-3259

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