Organization
NORTH ANDOVER DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JO P MARCHISIO (ACCTS MANAGER)
(978) 687-3335
Entity
Organization
Contact information
Practice address
198 MASSACHUSETTS AVE, STE 105, N ANDOVER, MA 01845-4143
(978) 687-3335
(978) 689-9041
Mailing address
198 MASSACHUSETTS AVE, STE 105, NORTH ANDOVER, MA 01845-4143
(978) 687-3335
(978) 689-9041
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
150484
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184637464
NPI
MA
05
—
9775927
—
MA
Enumeration date
08/15/2006
Last updated
03/10/2008
Update your record
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