Organization
CANTON DERMATOLOGY CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAFAR KOUPAIE MD (PRESIDENT)
(781) 821-2888
Entity
Organization
Contact information
Practice address
95 WASHINGTON ST, CANTON, MA 02021-4006
(781) 821-2888
(781) 821-8684
Mailing address
95 WASHINGTON ST, CANTON, MA 02021-4006
(781) 821-2888
(781) 821-8684
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
08/11/2014
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