| NPI | 1083647648 |
|---|---|
| Doing Business As | DBA DEPT OF DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM C JOHNSTON CFO 617-713-2263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2011-04-07 |