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Organization

KMN DERMATOLOGY & AESTHETICS PC

Active
Other names
d/b/a - Skin & Within
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JULIE MARY AHERN (OFFICE MANAGER)
(508) 346-3579
Entity
Organization

Contact information

Practice address
146 MAIN ST,, STE 2B, NORFOLK, MA 02056-1322
(508) 346-3579
(508) 346-3967
Mailing address
146 MAIN ST,, STE 2B, NORFOLK, MA 02056-1322
(508) 346-3579
(508) 346-3967

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
07/24/2012
Last updated
10/17/2012
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