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DERMATOLOGY AND LASER CENTER OF WESTERN MASS INC NPI 1093919078


NPI Information

NPI: 1093919078
Provider Name: DERMATOLOGY AND LASER CENTER OF WESTERN MASS INC
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 22D0687824

Address:
75 POST OFFICE PARK
SUITE 7501
WILBRAHAM, MA
ZIP 01095
Phone: (413) 596-8908
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DERMATOLOGY AND LASER CENTER OF WESTERN MASS INC is a procedural dermatology dermatology in Wilbraham, 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). DERMATOLOGY AND LASER CENTER OF WESTERN MASS INC NPI is 1093919078. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

75 POST OFFICE PARK
SUITE 7501
WILBRAHAM, MA
ZIP 01095-188
Phone: (413) 596-8908
Fax: (413) 596-9369

The provider's authorized official is Paul F Curtis .
The authorized official title is Medical Doctor and has the following contact phone number (413) 596-8908.

The CLIA number assigned to this NPI record is 22D0687824 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/13/2007 and was last updated on 10/19/2010.


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
1207NS0135XDermatologyProcedural 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
10002774MEDICARE PIN
2B74418MEDICARE UPINMASSACHUSETTS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.