Dermatology Associates Llc

LBN: Dermatology Associates Llc
Dermatology Associates Llc is an health care organization with primary practice located at 128 Carnegie Row Ste 202 , Norwood MA 02062-5162. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Dermatology Associates Llc can be contacted via phone (781) 762-5858, or through Goos, Samuel D via phone (978) 371-7010.

Contact Information

Primary practice address
128 Carnegie Row Ste 202 Norwood MA 02062-5162
Fax: (781) 762-9402
Website:
Authorized official contact:
Name: Goos, Samuel D Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1063570075
LBN Legal business name Dermatology Associates Llc
DBA Doing business as
Authorized official Goos, Samuel D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Mar 14th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063570075 NPPES
Massachusetts Other CD9656 RR MEDICARE
Massachusetts Other 600548 RR MEDICARE
Massachusetts MEDICAID 9718974 RR MEDICARE

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