Organization
INTEGRATED DERMATOLOGY OF CHESTERFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY QUEEN (OWNER)
(561) 314-2000
Entity
Organization
Contact information
Practice address
745A ROUTE 63, CHESTERFIELD, NH 03443-3604
(603) 363-4469
(603) 363-4450
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 314-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
NH
Other
Enumeration date
01/23/2012
Last updated
07/21/2022
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