Adult & Pediatric Dermatology, P.C. in Concord - Dermatology
Adult & Pediatric Dermatology, P.C. - NPI 1285614834
Adult & Pediatric Dermatology, P.C. is a Dermatology in Concord, Massachusetts. Adult & Pediatric Dermatology, P.C. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Adult & Pediatric Dermatology, P.C. is 1285614834. The last update date is 2015-01-15.
Adult & Pediatric Dermatology, P.C.'s current location address is 54 Baker Avenue Ext, Concord, Massachusetts. You can contact this provider via phone number 9783717010 and fax number 9782874268. The mailing address for Adult & Pediatric Dermatology, P.C. is 54 Baker Avenue Ext, Concord, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Adult & Pediatric Dermatology, P.C. |
|---|---|
| Address | 54 Baker Avenue Ext, Concord, Massachusetts |
| Phone Number | 9783717010 |
| Fax Number | 9782874268 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Goos D Samuel |
| Credentials | M.D. |
| Telephone Number | 9783717010 |
NPI Number Detail
| NPI Number | 1285614834 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2015-01-15 |
Provider Mailing Address Detail
| Address | 54 Baker Avenue Ext |
|---|---|
| City | Concord |
| State | Massachusetts (MA) |
| Post Code | 17422137 |
| Phone Number | 9783717010 |
| Fax Number | 9782874268 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M17456 | MA | BC/BS OF MA GROUP NUMBER | |
| 607334 | MA | TUFTS HEALTH PLAN GROUP # |
Post Comment/ Review Below
What is the Adult & Pediatric Dermatology, P.C.'s unique identification number?
The Adult & Pediatric Dermatology, P.C. has been assigned the NPI (National Provider Identifier) Number 1285614834 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Adult & Pediatric Dermatology, P.C. is located?
The Adult & Pediatric Dermatology, P.C. is situated at the following address: 54 Baker Avenue Ext, Concord, MA, 17422137.
What is the Adult & Pediatric Dermatology, P.C.'s area of specialization and corresponding taxonomy classification?
The Adult & Pediatric Dermatology, P.C.'s specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285614834 to Adult & Pediatric Dermatology, P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1285614834 to Adult & Pediatric Dermatology, P.C. on 2006-01-19.
When was the information pertaining to Adult & Pediatric Dermatology, P.C. most recently updated or revised?
The details related to Adult & Pediatric Dermatology, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2015-01-15.