Integrated Dermatology Of Mashton, LLC
Dermatology in Mashpee, MA. Organization (NPI-2).
NPI number1164069647
StatusActive
Last updated in NPPESDec 4, 2019
Details
- NPI
- 1164069647
- Entity type
- Organization (NPI-2)
- Legal business name
- Integrated Dermatology Of Mashton, LLC
- Organization subpart
- No
- Enumeration date
- Dec 4, 2019
- Last updated
- Dec 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
800 Falmouth Rd Ste 101Mashpee, MA 02649-3303
Phone 508-477-0391
Mailing address
4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450
Phone 561-314-2000
Authorized official
Adam S Plotkin
Authorized Group Official
5613142000
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