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NEW ENGLAND DERMATOLOGY P.C. NPI 1356348098


NPI Information

NPI: 1356348098
Provider Name: NEW ENGLAND DERMATOLOGY, P.C.

Other Name: NEW ENGLAND DERMATOLOGY & LASER CENTER

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 22D0067526

Address:
3455 MAIN ST
SUITE 5
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 733-9600
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NEW ENGLAND DERMATOLOGY, P.C. is a dermatology in Springfield, 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. NEW ENGLAND DERMATOLOGY, P.C. NPI is 1356348098. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is New England Dermatology & Laser Center.

The provider's business location address is:

3455 MAIN ST
SUITE 5
SPRINGFIELD, MA
ZIP 01107-147
Phone: (413) 733-9600
Fax: (413) 732-6534

The provider's authorized official is Rachel A Ivker .
The authorized official title is Treasurer and has the following contact phone number (413) 733-9600.

The CLIA number assigned to this NPI record is 22D0067526 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 5/8/2008.


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
1207N00000XDermatology=========MASSACHUSETTSYes

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
1M11488MEDICARE PIN
2607424OTHERTUFTS HEALTH PLANS
3CC5429OTHERRAILROAD MEDICARE
4NEM11488OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
5CE3094OTHERRAILROAD MEDICARE

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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