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Joshua Shofner

Dermatology in Winchester, MA. Individual provider (NPI-1).

NPI number1023218237
StatusActive
Last updated in NPPESJun 12, 2012

Details

NPI
1023218237
Entity type
Individual (NPI-1)
Name
Joshua Shofner
Sex
Male
Sole proprietor
No
Enumeration date
Jul 25, 2007
Last updated
Jun 12, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - DERMATOLOGY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology242212MAYes

Practice location

955 Main St Ste G6
Winchester, MA 01890-1992

Phone 781-729-4878

Mailing address

91 Munroe St
Apt 2r
Somerville, MA 02143-2023

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dermatology Physician providers in Winchester, MA

All 8 Dermatology Physician providers in Winchester · All 602 providers in Winchester

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