CRANBERRY SQUARE DERMATOLOGY PC NPI 1982829495

NPI Information

CRANBERRY SQUARE DERMATOLOGY PC is a specialist in South Dennis, 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. CRANBERRY SQUARE DERMATOLOGY PC NPI is 1982829495. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

434 ROUTE 134
SUITE 1A
SOUTH DENNIS, MA
ZIP 02660-433
Phone: (508) 394-5556
Fax: (508) 394-2735

The provider's authorized official is Amy Beth Koff .
The authorized official title is Owner and has the following contact phone number (508) 394-5556.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/28/2014.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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