South End Skin Care, Inc. in Boston - Dermatology

South End Skin Care, Inc. - NPI 1376721167

South End Skin Care, Inc. is a Dermatology in Boston, Massachusetts. South End Skin Care, Inc. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for South End Skin Care, Inc. is 1376721167. The last update date is 2008-08-05.

South End Skin Care, Inc.'s current location address is 321 Columbus Avenue, Boston, Massachusetts. You can contact this provider via phone number 8573627330 and fax number 8573627332. The mailing address for South End Skin Care, Inc. is 321 Columbus Avenue, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization South End Skin Care, Inc.
Address 321 Columbus Avenue, Boston, Massachusetts
Phone Number 8573627330
Fax Number 8573627332
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Schanbacher F. Carl
Credentials M.D.
Telephone Number 8573627330

NPI Number Detail

NPI Number 1376721167
Provider Enumeration Date 2008-02-05
Last Updated Date 2008-08-05

Provider Mailing Address Detail

Address 321 Columbus Avenue
City Boston
State Massachusetts (MA)
Post Code 21165114
Phone Number 8573627330
Fax Number 8573627332

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5608 MA MEDICARE PTAN

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FAQs about South End Skin Care, Inc.

What is the unique provider identifier assigned to South End Skin Care, Inc.?

The South End Skin Care, Inc. has been issued the NPI (National Provider Identifier) 1376721167 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where South End Skin Care, Inc.'s facilities are geographically located?

The facilities of South End Skin Care, Inc. are physically situated at the following location: 321 Columbus Avenue, Boston, MA, 21165114.

What is South End Skin Care, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The South End Skin Care, Inc.'s specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1376721167 to South End Skin Care, Inc.?

The Centers for Medicare & Medicaid Services assigned the 1376721167 to South End Skin Care, Inc. on 2008-02-05.

When was the information regarding South End Skin Care, Inc. most recently updated?

The details pertaining to the South End Skin Care, Inc., including its address, specialty, and other relevant information, were last refreshed on 2008-08-05.

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