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PARK DERMATOLOGY ASSOC PC NPI 1346260866


NPI Information

NPI: 1346260866
Provider Name: PARK DERMATOLOGY ASSOC PC
Classification: Dermatology - 207NI0002X
Entity Type: Organization

Specialization: Clinical & Laboratory Dermatological Immunology

Address:
851 MAIN ST
SOUTH WEYMOUTH, MA
ZIP 02190
Phone: (781) 331-2250
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PARK DERMATOLOGY ASSOC PC is a clinical and laboratory dermatological immunology dermatology in South Weymouth, MA. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. PARK DERMATOLOGY ASSOC PC NPI is 1346260866. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

851 MAIN ST
SOUTH WEYMOUTH, MA
ZIP 02190
Phone: (781) 331-2250
Fax: (781) 331-1625

The provider's authorized official is Jay M Ritt .
The authorized official title is Physician and has the following contact phone number (781) 331-2250.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 3/11/2008.


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
1207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyYes

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
1M14457MEDICARE PINMASSACHUSETTS
29716793MEDICAIDMASSACHUSETTS

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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