Organization
DERMATOLOGY ASSOCIATES OF THE NORTHSHORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR DIMATTIA MD (PRESIDENT)
(978) 531-3736
Entity
Organization
Contact information
Practice address
6 ESSEX CENTER DR, STE 202, PEABODY, MA 01960-2910
(978) 531-3736
(978) 538-3942
Mailing address
6 ESSEX CENTER DR, STE 202, PEABODY, MA 01960-2910
(978) 531-3736
(978) 538-3942
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
32419
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2084291
AETNA US HEALTHCARE
MA
01
—
707099
TUFTS
MA
01
—
M12557
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/04/2006
Last updated
02/08/2012
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