NPI | 1669584348 |
---|---|
Doing Business As | ADVANCED DERMATOLOGY OF MELROSE |
Entity Type | Organization |
Authorized Contact | STEVEN I KORNBLEUTH Md 781-662-8881 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MA 156364) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2019-12-30 |