Michelle S Malane
Procedural Dermatology
1781 Highland Ave
Cheshire
, Connecticut 06410-1254
Michelle S Malane
Procedural Dermatology
1781 Highland Ave
Cheshire
, Connecticut 06410-1254
(203) 272-9539
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Michelle S Malane
- 1781 Highland Ave
- Cheshire, CT
- Zip : 06410-1254
- Fax : (203) 272-9539
- Phone : (203) 272-3376
Second Address
- Michelle S Malane
- 1781 Highland Ave
- Cheshire, CT
- Zip : 06410-1254
- Fax : (203) 272-9539
- Phone : (203) 272-3376
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | 034944 | CT |
National Provider Identifier
| NPI | 1407845332 |
|---|---|
| Provider Name | Michelle S Malane |
| First Address | Cheshire, CT 06410-1254 |
| Second Address | Cheshire, CT 06410-1254 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2005 |
| Last Update Date | 21/04/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G38502 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.