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CENTER FOR BLISTERING DISEASES INC NPI 1841360716


NPI Information

NPI: 1841360716
Provider Name: CENTER FOR BLISTERING DISEASES, INC
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
697 CAMBRIDGE ST
SUITE 302
BOSTON, MA
ZIP 02135
Phone: (617) 562-1040
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CENTER FOR BLISTERING DISEASES, INC is a dermatology in Boston, MA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. CENTER FOR BLISTERING DISEASES, INC NPI is 1841360716. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

697 CAMBRIDGE ST
SUITE 302
BOSTON, MA
ZIP 02135-897
Phone: (617) 562-1040
Fax: (617) 562-1047

The provider's authorized official is Abdul Razzaque Ahmed .
The authorized official title is President and has the following contact phone number (617) 562-1040.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 11/10/2016.


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
1207N00000XDermatologyYes

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
159699OTHERFALLON HEALTH PLAN
2=========OTHERCIGNA HEALTHCARE
3=========OTHERUNITED HEALTHCARE
4M20993MEDICARE ID-TYPE UNSPECIFIED
5=========OTHERGIC INDEMNITY COMM MASS
6CQ80OTHERHPHC FIRST SENIORITY PLAN
7690849OTHERTUFTS SECURE HORIZONS
8CQ80OTHERHARVARD PILGRIM HEALTH
93051578OTHERAETNA US HEALTHCARE
10=========OTHERPRIVATE HEALTHCARE SYS
11DA7122OTHERRAILROAD MEDICARE PALMETO
12001620OTHERNEIGHBORHOOD HEALTH
13M17819OTHERBCBS MA
14M17819OTHERBCBS RI

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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