| NPI | 1417241332 |
|---|---|
| Doing Business As | PRESTIGE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN M JENKS Director/CEO 617-262-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS7718) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |