Jack Krushell in Somerville - Dermatology

Jack Krushell - NPI 1558328609

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
Address 40 Holland St, Somerville, Massachusetts
Phone Number 6176296250
Fax Number 6176296108
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1558328609
Provider Enumeration Date 2006-05-01
Last Updated Date 2021-01-25

Provider Mailing Address Detail

Address 40 Holland St
City Somerville
State Massachusetts (MA)
Post Code 21442705
Phone Number 6176296250
Fax Number 6176296108

Provider's Primary Taxonomy Detail

Speciality Dermatology
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
3204545 MA --

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FAQs about Jack Krushell

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.

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