DERMATOLOGY LASER & AESTHETICS PLLC NPI 1366128159

NPI Details

DERMATOLOGY, LASER & AESTHETICS, PLLC is a procedural dermatology dermatology in Boston, 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, LASER & AESTHETICS, PLLC NPI is 1366128159. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cmd Dermatology, Laser & Aesthetics.

The provider's business location address is:

745 BOYLSTON STREET SUITE 203
BOSTON, MA
ZIP 02116
Phone: (617) 895-6086

The provider's authorized official is Catherine Marie Digiorgio .
The authorized official title is Medical Director and has the following contact phone number (617) 895-6086.

The CLIA number assigned to this NPI record is 22D2316367 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/26/2023 and was last updated on 7/12/2023.

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: