| NPI | 1326166596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID AGHASSI Physician 781-237-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 157066) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 75461) |
| 207N00000X Dermatology (Licence: MA 58820) | |
| 363A00000X Physician Assistant (Licence: MA 2027) | |
| 363A00000X Physician Assistant (Licence: MA PA1800) | |
| 207N00000X Dermatology (Licence: MA 238807) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2015-05-22 |