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SOUTH END SKIN CARE INC. NPI 1376721167


NPI Information

NPI: 1376721167
Provider Name: SOUTH END SKIN CARE, INC.

Doing Business As: SOUTH END DERMATOLOGY AND SKIN CARE, INC.

Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
321 COLUMBUS AVENUE
SUITE 2R
BOSTON, MA
ZIP 02116
Phone: (857) 362-7330
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SOUTH END SKIN CARE, INC. is a procedural dermatology dermatology in Boston, MA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). SOUTH END SKIN CARE, INC. NPI is 1376721167. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As South End Dermatology And Skin Care, Inc..

The provider's business location address is:

321 COLUMBUS AVENUE
SUITE 2R
BOSTON, MA
ZIP 02116-114
Phone: (857) 362-7330
Fax: (857) 362-7332

The provider's authorized official is Carl F. Schanbacher .
The authorized official title is President and has the following contact phone number (857) 362-7330.

The enumeration date for this NPI number is 2/5/2008 and was last updated on 8/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyNo
2207NS0135XDermatologyProcedural DermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10005608OTHERMASSACHUSETTSMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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