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Contact Information

ASSOCIATES IN DERMATOLOGY, LLC
40 SPRING ST
WATERTOWN, MA02472-3474
 Phone: 617-923-8433
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ASSOCIATES IN DERMATOLOGY, LLC

NPI # 1144387390
LBN Legal business name ASSOCIATES IN DERMATOLOGY, LLC
Authorized official SAMUEL GOOS - (OWNER/MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2007
Last updated 10/17/2024 - More than a year ago
Identifiers
MA Other M17145 BLUE SHIELD GRP #
MA Other CH1872 RAILROAD MEDICARE
MA Other 618241 TUFTS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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