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Contact Information

BROOKLINE DERMATOLOGY LLC
235 CYPRESS ST
SUITE 200
BROOKLINE, MA02445-6776
 Phone: 617-277-0800
 Fax: 617-277-0899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for BROOKLINE DERMATOLOGY LLC

NPI Number 1609129956
LBN Legal business name BROOKLINE DERMATOLOGY LLC
Authorized official BRIAN LESTER - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/24/2012
Last updated 10/24/2012 - About 14 years ago
Identifiers
MA License # 223638
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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