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

Individual provider Dermatology Physician · NPI 1568549996

Deirdre Brianne Cannon, PAC is a Physician Assistant in Trumbull, Connecticut. Qualified in 2006, 20 years ago. Practices with Adult and Pediatric Dermatology Specialists, PC, a 10-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
20
Licensed in
CT
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

160 Hawley Ln Ste 104
Trumbull, CT 06611-5300
Phone: (203) 377-0639
Fax: (203) 386-9706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 001826 (CT)

Record details

NPI number1568549996
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESMarch 26, 2014
Mailing address160 Hawley Ln, Suite 104, Trumbull, CT 06611-5300

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Adult And Pediatric Dermatology Specialists, P.C. — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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