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ATTLEBORO DERMATOLOGY P.C. NPI 1811965296


NPI Information

NPI: 1811965296
Provider Name: ATTLEBORO DERMATOLOGY, P.C.
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 22D1013646

Address:
152 EMORY ST
ATTLEBORO, MA
ZIP 02703
Phone: (508) 226-0400
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ATTLEBORO DERMATOLOGY, P.C. is a dermatology in Attleboro, 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. ATTLEBORO DERMATOLOGY, P.C. NPI is 1811965296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

152 EMORY ST
ATTLEBORO, MA
ZIP 02703-434
Phone: (508) 226-0400
Fax: (508) 226-3301

The provider's authorized official is Andrew David Samel .
The authorized official title is Physician and has the following contact phone number (508) 226-0400.

The CLIA number assigned to this NPI record is 22D1013646 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/10/2006 and was last updated on 12/1/2009.


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
1207N00000XDermatology76041MASSACHUSETTSYes

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
1401164OTHERMASSACHUSETTSHARVARD PILGRIM
2CK7613OTHERMASSACHUSETTSRAILROAD MEDICARE
3M21159MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
4M18034OTHERMASSACHUSETTSBLUE SHIELD
50005389OTHERRHODE ISLANDBLUE CHIP
6695110OTHERMASSACHUSETTSTUFTS
7227085OTHERRHODE ISLANDRHODE ISLAND B/SHIELD
89722301MEDICAIDMASSACHUSETTS

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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