Worcester Dermatology Associates, P.C.

LBN: Worcester Dermatology Associates, P.C.
Worcester Dermatology Associates, P.C. is an health care organization with primary practice located at 100 Central St , Worcester MA 01608-1209. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Worcester Dermatology Associates, P.C. can be contacted via phone (508) 754-3823, or through Kixmiller, Lori via phone (508) 754-3823.

Contact Information

Primary practice address
100 Central St Worcester MA 01608-1209
Phone: (508) 754-3823
Fax: (508) 753-0151
Website:
Map and Directions
Authorized official contact:
Name: Kixmiller, Lori
Phone: (508) 754-3823

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 75849 Massachusetts

Profile Details

NPI number 1144211681
LBN Legal business name Worcester Dermatology Associates, P.C.
DBA Doing business as
Authorized official Kixmiller, Lori
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2005
Last updated Feb 13th, 2021 - about 5 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 1144211681 NPPES
Massachusetts Other M17485 BLUE SHIELD GROUP NUMBER
Massachusetts MEDICAID 9700340 BLUE SHIELD GROUP NUMBER

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