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

Mdlive Medical Group Nm, LLC

Organization Dermatology Physician · NPI 1174201156

Mdlive Medical Group Nm, LLC is a Dermatology Physician in Bloomfield, Connecticut. Registered with an NPI since 2023.

In the registry since
2023
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

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.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1174201156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sue-Ann Adrians — Gp Pm · (800) 400-6354
Other names Mdlive Medical Group
NPI enumeratedJuly 10, 2023
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing addressPo Box 5006, Hartford, CT 06102-5006

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