Organization
PLYMOUTH DERMATOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY N FARBER M.D. (VICE PRESIDENT)
(508) 746-5300
Entity
Organization
Contact information
Practice address
345 COURT ST, SUITE 201, PLYMOUTH, MA 02360-4329
(508) 746-5300
(508) 747-2001
Mailing address
345 COURT ST, SUITE 201, PLYMOUTH, MA 02360-4329
(508) 746-5300
(508) 747-2001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN6573
RAILROAD MEDICARE
MA
01
—
M16586
BLUE CROSS AND BLUE SHIELD
MA
Enumeration date
02/13/2007
Last updated
05/05/2008
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