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DERMATOLOGY & SKIN CARE ASSOC PC NPI 1003005331


NPI Information

NPI: 1003005331
Provider Name: DERMATOLOGY & SKIN CARE ASSOC PC

Former Legal Business Name: DERMATOLOGY ASSOCIATES OF GREATER BOSTON PC

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 22D1080912

Address:
10 LAUREL AVE SUITE 300
WELLESLEY, MA
ZIP 02481
Phone: (781) 235-8155
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DERMATOLOGY & SKIN CARE ASSOC PC is a dermatology in Wellesley, 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. DERMATOLOGY & SKIN CARE ASSOC PC NPI is 1003005331. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Dermatology Associates Of Greater Boston Pc.

The provider's business location address is:

10 LAUREL AVE SUITE 300
WELLESLEY, MA
ZIP 02481
Phone: (781) 235-8155
Fax: (781) 235-2855

The provider's authorized official is Pamela K Weinfeld .
The authorized official title is President and has the following contact phone number (781) 235-8155.

The CLIA number assigned to this NPI record is 22D1080912 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 3/27/2008.


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
1207N00000XDermatology216859MASSACHUSETTSYes

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
1M19446OTHERMASSACHUSETTSBCBS
2H90994MEDICARE UPIN

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: 11/14/2023

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