NPI | 1508396623 |
---|---|
Entity Type | Organization |
Authorized Contact | IRA SKOLNIK President 978-369-7701 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MA 209782) |
Additional Taxonomies | 207NP0225X Dermatology Pediatric Dermatology (Licence: MA 209782) |
Enumeration Date | 2017-06-13 |
Last Update Date | 2022-11-21 |