Jack Krushell is a Dermatology in Somerville, Massachusetts. Jack Krushell practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jack Krushell is 1558328609. The last update date is 2021-01-25.
Jack Krushell's current location address is 40 Holland St, Somerville, Massachusetts. You can contact this provider via phone number 6176296250 and fax number 6176296108. The mailing address for Jack Krushell is 40 Holland St, Somerville, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jack Krushell |
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Address | 40 Holland St, Somerville, Massachusetts |
Phone Number | 6176296250 |
Fax Number | 6176296108 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1558328609 |
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Provider Enumeration Date | 2006-05-01 |
Last Updated Date | 2021-01-25 |
Provider Mailing Address Detail
Address | 40 Holland St |
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City | Somerville |
State | Massachusetts (MA) |
Post Code | 21442705 |
Phone Number | 6176296250 |
Fax Number | 6176296108 |
Provider's Primary Taxonomy Detail
Speciality | Dermatology |
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Taxonomy | 207N00000X |
Licence No | 74445 |
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 |
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3204545 | MA | -- |
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What is the unique 10-digit identification code issued to Jack Krushell by the Centers for Medicare & Medicaid Services?
The Jack Krushell has been assigned the NPI (National Provider Identifier) 1558328609 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jack Krushell?
The Jack Krushell is physically situated at 40 Holland St, in the city of Somerville, state of MA, with the postal code 21442705.
What is the Jack Krushell's area of specialization and corresponding taxonomy classification?
The Jack Krushell's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
When did Jack Krushell receive its 1558328609 assignment?
The Jack Krushell was assigned its 1558328609 on 2006-05-01, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jack Krushell last refreshed?
The information related to the Jack Krushell, including its address, specialty, and other relevant details, was last updated on 2021-01-25.