| Dr Amanda Perez, DNP, FNP-C | |
| 
					95 Stemway Rd, Trumbull, CT 06611-1836  | |
| (203) 275-5803 | |
| Not Available | 
| Full Name | Dr Amanda Perez | 
|---|---|
| Gender | Female | 
| Speciality | Dermatology | 
| Location | 95 Stemway Rd, Trumbull, Connecticut | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275249757 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207N00000X | Dermatology | 12617 (Connecticut) | Primary | 
| 163W00000X | Registered Nurse | 143705 (Connecticut) | Secondary | 
| Entity Name | The Connecticut Dermatology Group Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699881557 PECOS PAC ID: 9032147509 Enrollment ID: O20050727000568  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Amanda Perez, DNP, FNP-C 95 Stemway Rd, Trumbull, CT 06611-1836 Ph: (203) 275-5803  | Dr Amanda Perez, DNP, FNP-C 95 Stemway Rd, Trumbull, CT 06611-1836 Ph: (203) 275-5803  | 
Seth Perry Lerner, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 160 Hawley Ln, Suite 104, Trumbull, CT 06611 Phone: 203-377-0639  | |
Deirdre Brianne Cannon, PAC Dermatology Medicare: Accepting Medicare Assignments Practice Location: 160 Hawley Ln, Suite 104, Trumbull, CT 06611 Phone: 203-377-0639 Fax: 203-386-9706  | |
Michael Patrick Noonan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 160 Hawley Ln, Trumbull, CT 06611 Phone: 203-377-0639  | |
Dr. Alexander Fogel, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 160 Hawley Ln, Trumbull, CT 06611 Phone: 203-377-0639 Fax: 203-386-9706  | |
Dr. Robert J Patrignelli, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 965 White Plains Rd, Trumbull, CT 06611 Phone: 203-261-0800 Fax: 203-268-2668  | |
Jason Matthew Wilder, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 160 Hawley Ln, Suite 104, Trumbull, CT 06611 Phone: 203-377-0639  |