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Contact Information

DERMATOPATH LAB, INC.
555 PLEASANT ST
SUITE 106
ATTLEBORO, MA02703-2400
 Phone: 508-226-5540
 Fax: 508-226-9619
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DERMATOPATH LAB INC · (Female)

NPI # 1275589624
Status Active
Credentials
Entity Individual
Enumeration date 05/26/2006
Last updated 12/05/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 2413
  • MA Medicaid 0805548
  • RI Medicaid 9418065
  • MA Other 228418 BCBS
  • MA Other C028629 CHAMPUS
  • MA Other 4754 MIR HARVARD/PILGRIM
  • MA Other 0013986 NHP
  • MA Other 607206 TUFTS
  • MA Other 350062 UHC
  • RI Other 1847-0 BCBS
  • RI Other 1171 NHP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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