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Organization

NEW ENGLAND DERMATOLOGY, P.C.

Active
Other names
NEW ENGLAND DERMATOLOGY & LASER CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL LOOSEMORE MD (MANAGING PARTNER)
(413) 733-9600
Entity
Organization

Contact information

Practice address
3455 MAIN ST, SUITE 5, SPRINGFIELD, MA 01107-1147
(413) 733-9600
(413) 732-6534
Mailing address
3455 MAIN ST, SUITE 5, SPRINGFIELD, MA 01107-1147
(413) 733-9600
(413) 732-6534

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
607424
TUFTS HEALTH PLANS
01
CC5429
RAILROAD MEDICARE
01
CE3094
RAILROAD MEDICARE
01
NEM11488
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/07/2005
Last updated
09/04/2024
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