Healthcare Provider Details

I. General information

NPI: 1053340943
Provider Name (Legal Business Name): ADVANCED SPECIALTY CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 03/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 NEWTOWN RD SUITE 2A
DANBURY CT
06810-4146
US

IV. Provider business mailing address

107 NEWTOWN RD SUITE 2A
DANBURY CT
06810-4146
US

V. Phone/Fax

Practice location:
  • Phone: 203-830-4700
  • Fax: 203-830-5080
Mailing address:
  • Phone: 203-830-4700
  • Fax: 203-830-5080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAY H KLARSFELD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 203-938-2287