BROOKLINE VILLAGE DERMATOLOGY PC NPI 1831180660

NPI Information

BROOKLINE VILLAGE DERMATOLOGY PC is a specialist in Brookline, MA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BROOKLINE VILLAGE DERMATOLOGY PC NPI is 1831180660. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 BROOKLINE PL
SUITE 406
BROOKLINE, MA
ZIP 02445-224
Phone: (617) 277-8332
Fax: (617) 277-8105

The provider's authorized official is Steven K Shama .
The authorized official title is Authorized Official Md and has the following contact phone number (617) 277-8332.

The enumeration date for this NPI number is 11/1/2005 and was last updated on 8/22/2020.

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:

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