| NPI | 1255946315 |
|---|---|
| Other Name | CITY SOUTH DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE-TSONG LIN Governor 617-412-1987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-18 |