# WASHINGTON SQUARE DERMATOLOGY,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DOROTHY J CUNNINGHAM, MD, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649564261
- **Authorized official:** DR. DOROTHY JEAN CUNNINGHAM MD (OWNER/DERMATOLOGIST)
- **Authorized official phone:** (617) 325-8772

## Contact information

- **Practice address:** 651 WASHINGTON ST, SUITE 110, BROOKLINE, MA 02446-4517
- **Practice address phone:** (617) 734-1707
- **Practice address fax:** (617) 734-1709
- **Mailing address:** 651 WASHINGTON STREET, SUITE 110, BROOKLINE, MA 02446
- **Mailing address phone:** (617) 734-1707
- **Mailing address fax:** (617) 734-1709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 82037 | MA | Yes |

## Other

- **Enumeration date:** 05/31/2011
- **Last updated:** 05/31/2011