Individual
MICHAEL LOOSEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3455 MAIN ST STE 5, NEW ENGLAND DERMATOLOGY & LASER CENTER, SPRINGFIELD, MA 01107-1147
(413) 733-9600
(413) 732-6534
Mailing address
3455 MAIN ST STE 5, NEW ENGLAND DERMATOLOGY & LASER CENTER, SPRINGFIELD, MA 01107-1147
(413) 733-9600
(413) 732-6534
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
258043
MA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
258043
MA
207NS0135X
Procedural Dermatology Physician
258043
MA
Other
Enumeration date
07/02/2007
Last updated
08/15/2014
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