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Organization

SKIN DERMATOLOGY COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALISSA T LAMOUREUX DO (PRESIDENT)
(508) 644-0505
Entity
Organization

Contact information

Practice address
555 MAIN ST STE 1, SHREWSBURY, MA 01545
(508) 644-0505
(508) 644-0506
Mailing address
555 MAIN ST STE 1, SHREWSBURY, MA 01545-2932
(508) 644-0505
(508) 644-0506

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
12/15/2017
Last updated
05/24/2021
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