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DERMATOPATH LAB INC. NPI 1275589624


NPI Information

NPI: 1275589624
Provider Name: DERMATOPATH LAB, INC.
Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

Address:
555 PLEASANT ST
SUITE 106
ATTLEBORO, MA
ZIP 02703
Phone: (508) 226-5540
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DERMATOPATH LAB, INC. is a dermatopathology dermatology in Attleboro, MA. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. DERMATOPATH LAB, INC. NPI is 1275589624. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

555 PLEASANT ST
SUITE 106
ATTLEBORO, MA
ZIP 02703-400
Phone: (508) 226-5540
Fax: (508) 226-9619

The provider's authorized official is Yvonne C. Hines .
The authorized official title is Medical Director and has the following contact phone number (508) 226-5540.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 12/5/2007.


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
1207ND0900XDermatologyDermatopathology2413MASSACHUSETTSYes

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
1228418OTHERMASSACHUSETTSBCBS
20805548MEDICAIDMASSACHUSETTS
31171OTHERRHODE ISLANDNHP
4C028629OTHERMASSACHUSETTSCHAMPUS
50013986OTHERMASSACHUSETTSNHP
6607206OTHERMASSACHUSETTSTUFTS
7350062OTHERMASSACHUSETTSUHC
81847-0OTHERRHODE ISLANDBCBS
94754 MIROTHERMASSACHUSETTSHARVARD/PILGRIM
109418065MEDICAIDRHODE ISLAND
11228418MEDICARE 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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