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GREATER METROWEST DERMSURGEONS LLC NPI 1407905961


NPI Information

NPI: 1407905961
Provider Name: GREATER METROWEST DERMSURGEONS, LLC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 22D1040615

Address:
57 PROVIDENCE HWY
NORWOOD, MA
ZIP 02062
Phone: (781) 255-1900
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GREATER METROWEST DERMSURGEONS, LLC is a mohs-micrographic surgery dermatology in Norwood, MA. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. GREATER METROWEST DERMSURGEONS, LLC NPI is 1407905961. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

57 PROVIDENCE HWY
NORWOOD, MA
ZIP 02062
Phone: (781) 255-1900

The provider's authorized official is Dennis Lee .
The authorized official title is Owner and has the following contact phone number (781) 255-1900.

The CLIA number assigned to this NPI record is 22D1040615 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 8/17/2015.


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
1207ND0101XDermatologyMOHS-Micrographic SurgeryYes

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
1M18974OTHERMASSACHUSETTSBLUE CROSS GROUP
29752251MEDICAIDMASSACHUSETTS
3M21698MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSGROUP

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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