| NPI | 1568552594 |
|---|---|
| Former Legal Business Name | MARCOS SASTRE MD |
| Entity Type | Organization |
| Authorized Contact | MARCOS SASTRE President 508-224-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 48199) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: MA 48199) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: MA 48199) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |