Dermwellesley Llc

LBN: Dermwellesley Llc
Dermwellesley Llc is an health care organization with primary practice located at 20 William St , Wellesley MA 02481-4103. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Dermwellesley Llc can be contacted via phone (781) 591-4234, or through Wise, Emily via phone (857) 317-2057.

Contact Information

Primary practice address
20 William St Wellesley MA 02481-4103
Phone: (781) 591-4234
Fax: (781) 369-9737
Website:
Map and Directions
Authorized official contact:
Name: Wise, Emily Doctor of Medicine (MD)
Phone: (857) 317-2057

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 254256 Massachusetts

Profile Details

NPI number 1811478092
LBN Legal business name Dermwellesley Llc
DBA Doing business as
Authorized official Wise, Emily Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2018
Last updated Jan 3rd, 2019 - about 7 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 1811478092 NPPES
Other 1487882270 INDIVIDUAL NPI

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