| NPI | 1427247139 |
|---|---|
| Doing Business As | NORTHSHORE DERMATOLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MARTELLE J NUNES Business Manager 985-893-2620 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA MD02912R) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2008-06-19 |