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Organization
PARK DERMATOLOGY ASSOC PC
Active
Organization
PARK DERMATOLOGY ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY M RITT MD (PHYSICIAN)
(781) 331-2250
Entity
Organization
Contact information
Practice address
851 MAIN ST, SOUTH WEYMOUTH, MA 02190
(781) 331-2250
(781) 331-1625
Mailing address
851 MAIN ST, SOUTH WEYMOUTH, MA 02190
(781) 331-2250
(781) 331-1625
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
—
NULL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9716793
—
MA
Enumeration date
07/20/2006
Last updated
03/11/2008
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