Park Dermatology Assoc Pc in Brockton - Clinical & Laboratory Dermatological Immunology
Park Dermatology Assoc Pc - NPI 1598785016
Park Dermatology Assoc Pc is a Clinical & Laboratory Dermatological Immunology in Brockton, Massachusetts. Park Dermatology Assoc Pc practices all healthcare services and medical treatments related to Clinical & Laboratory Dermatological Immunology. The NPI Number for Park Dermatology Assoc Pc is 1598785016. The last update date is 2008-02-12.
Park Dermatology Assoc Pc's current location address is One Pearl St, Brockton, Massachusetts. You can contact this provider via phone number 5088945100 and fax number 5088945111. The mailing address for Park Dermatology Assoc Pc is One Pearl St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Park Dermatology Assoc Pc |
|---|---|
| Address | One Pearl St, Brockton, Massachusetts |
| Phone Number | 5088945100 |
| Fax Number | 5088945111 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Ritt M Jay |
| Credentials | MD |
| Telephone Number | 5088945100 |
NPI Number Detail
| NPI Number | 1598785016 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2008-02-12 |
Provider Mailing Address Detail
| Address | One Pearl St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 2301 |
| Phone Number | 5088945100 |
| Fax Number | 5088945111 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical & Laboratory Dermatological Immunology |
|---|---|
| Taxonomy | 207Ni0002X |
|
Definition: A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9717404 | MA | -- |
Post Comment/ Review Below
What is the Park Dermatology Assoc Pc's unique identification number?
The Park Dermatology Assoc Pc has been assigned the NPI (National Provider Identifier) Number 1598785016 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Park Dermatology Assoc Pc is geographically located?
The Park Dermatology Assoc Pc is physically situated at the following location: One Pearl St, Brockton, MA, 2301.
What is Park Dermatology Assoc Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Park Dermatology Assoc Pc is Clinical & Laboratory Dermatological Immunology, and the corresponding taxonomy classification code for this specialized field is 207Ni0002X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598785016 to Park Dermatology Assoc Pc?
The Centers for Medicare & Medicaid Services originally issued the 1598785016 to Park Dermatology Assoc Pc on 2006-07-20.
When was the information regarding Park Dermatology Assoc Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Park Dermatology Assoc Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-12.
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