| NPI | 1093058752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS ZELTSER Director 617-780-2891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 244205) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 244205) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 244205) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-05-01 |