WASHINGTON SQUARE DERMATOLOGYLLC NPI 1649564261

NPI Information

  • NPI: 1649564261
  • Provider Name: WASHINGTON SQUARE DERMATOLOGY,LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Former Legal Business Name: DOROTHY J CUNNINGHAM, MD, LLC
  • Address: 651 WASHINGTON ST
    SUITE 110
    BROOKLINE, MA
    ZIP 02446
  • Phone: (617) 734-1707

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NPI Details

WASHINGTON SQUARE DERMATOLOGY,LLC is a medical specialty clinic center in Brookline, MA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). WASHINGTON SQUARE DERMATOLOGY,LLC NPI is 1649564261. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Dorothy J Cunningham, Md, Llc.

The provider's business location address is:

651 WASHINGTON ST
SUITE 110
BROOKLINE, MA
ZIP 02446-517
Phone: (617) 734-1707
Fax: (617) 734-1709

The provider's authorized official is Dorothy Jean Cunningham .
The authorized official title is Owner/dermatologist and has the following contact phone number (617) 325-8772.

The enumeration date for this NPI number is 5/31/2011 and was last updated on 5/31/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty82037MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A20823MEDICARE PIN

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: 11/21/2025

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