Advanced Dermatology Of Melrose, PLLC
Dermatology in Melrose, MA. Organization (NPI-2).
NPI number1013678747
StatusActive
Last updated in NPPESJan 5, 2022
Details
- NPI
- 1013678747
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Dermatology Of Melrose, PLLC
- Organization subpart
- Yes
- Enumeration date
- Jan 5, 2022
- Certification date
- Jan 5, 2022
- Last updated
- Jan 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
802 Main StMelrose, MA 02176-2708
Phone 978-371-7010
Mailing address
526 Main St Ste 302Acton, MA 01720-3301
Phone 978-371-7010
Authorized official
Samuel Goos
Owner
9783717010
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Other Dermatology Physician providers in Melrose, MA
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- Advanced Dermatology And Aesthetic Center LLCNPI 1568907533
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- Steven Ira Kornbleuth, MDNPI 1386634806
- Steven I. Kornbleuth, MDNPI 1669584348
All 6 Dermatology Physician providers in Melrose · All 627 providers in Melrose
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