Deirdre Brianne Cannon, PAC Valid NPI

Individual provider · Dermatology Physician · Trumbull, CT

NPI

1568549996

Type

Individual (Type 1)

Primary specialty

Dermatology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207N00000X

License number

001826 (CT)

Sex

Female

Sole proprietor

No

Enumerated

2006-11-01

Last updated

2014-03-26