| NPI | 1689823650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA LAWRENCE 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 | 2008-09-15 |
| Last Update Date | 2008-09-15 |