Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mdlive Medical Group Nm, LLC

Organization Dermatology Physician · NPI 1174201156

Mdlive Medical Group Nm, LLC provides Dermatology Physician services 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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