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NORTH ANDOVER DERMATOLOGY INC NPI 1184637464


NPI Information

NPI: 1184637464
Provider Name: NORTH ANDOVER DERMATOLOGY INC
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
198 MASSACHUSETTS AVE
STE 105
N ANDOVER, MA
ZIP 01845
Phone: (978) 687-3335
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NORTH ANDOVER DERMATOLOGY INC is a procedural dermatology dermatology in N Andover, 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). NORTH ANDOVER DERMATOLOGY INC NPI is 1184637464. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

198 MASSACHUSETTS AVE
STE 105
N ANDOVER, MA
ZIP 01845-143
Phone: (978) 687-3335
Fax: (978) 689-9041

The provider's authorized official is Jo P Marchisio .
The authorized official title is Accts Manager and has the following contact phone number (978) 687-3335.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 3/10/2008.


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
1207NS0135XDermatologyProcedural Dermatology150484MASSACHUSETTSYes

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
19775927MEDICAIDMASSACHUSETTS
21184637464OTHERMASSACHUSETTSNPI
3A16757MEDICARE PINMASSACHUSETTS

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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