Vibrant Dermatology Pllc

LBN: Vibrant Dermatology Pllc
Vibrant Dermatology Pllc is an health care organization with primary practice located at 588 Providence Hwy , Dedham MA 02026-6804. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Vibrant Dermatology Pllc can be contacted via phone (781) 708-9299, or through Imahiyerobo, Joyce via phone (617) 840-9034.

Contact Information

Primary practice address
588 Providence Hwy Dedham MA 02026-6804
Phone: (781) 708-9299
Fax: (855) 699-6813
Website:
Map and Directions
Authorized official contact:
Name: Imahiyerobo, Joyce Doctor of Medicine (MD)
Phone: (617) 840-9034

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 254815 Massachusetts

Profile Details

NPI number 1023515277
LBN Legal business name Vibrant Dermatology Pllc
DBA Doing business as
Authorized official Imahiyerobo, Joyce Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2018
Last updated Feb 29th, 2020 - about 6 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 1023515277 NPPES
Massachusetts MEDICAID 110098002A

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