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Contact Information

ATTLEBORO DERMATOLOGY, P.C.
152 EMORY ST
ATTLEBORO, MA02703-2434
 Phone: 508-226-0400
 Fax: 508-226-3301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ATTLEBORO DERMATOLOGY, P.C.

NPI Number 1811965296
LBN Legal business name ATTLEBORO DERMATOLOGY, P.C.
Authorized official ANDREW SAMEL - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 03/10/2006
Last updated 12/01/2009 - About 17 years ago
Identifiers
MA License # 76041
MA Medicaid 9722301
MA Other M18034 BLUE SHIELD
MA Other 401164 HARVARD PILGRIM
MA Other CK7613 RAILROAD MEDICARE
MA Other 695110 TUFTS
RI Other 0005389 BLUE CHIP
RI Other 227085 RHODE ISLAND B/SHIELD
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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