Organization
METRO WEST DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN BLEUER (OFFICE MANAGER)
(508) 879-8128
Entity
Organization
Contact information
Practice address
140 LINCOLN ST, FRAMINGHAM, MA 01702-6306
(508) 879-8128
(508) 879-3837
Mailing address
140 LINCOLN ST, FRAMINGHAM, MA 01702-6306
(508) 879-8128
(508) 879-3837
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
52195
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004684
NEIGHBORHOOD HEALTH PLAN
—
01
—
4121
HARVARD PILGRIM HEALTH
—
01
—
54737
FALLON SELECT & DIRECT
—
01
—
709234
TUFTS
MA
01
—
J03757
BCBS
MA
Enumeration date
09/27/2006
Last updated
10/31/2007
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