Organization
BOSTON UNIVERSITY DERMATOLOGY, INC.
Active
Other names
Faculty Practice Foundation Inc Boston University Dermatology Inc
Organization subpart
No
Provider details
NPI number
Authorized official
RHODA M. ALANI (PRESIDENT)
(617) 638-7249
Entity
Organization
Contact information
Practice address
725 ALBANY ST, SUITE 8B, SHAPIRO BLDG, BOSTON, MA 02118
(617) 638-7420
(617) 638-7289
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072443A
—
MA
05
—
3115042
—
NH
Enumeration date
10/18/2005
Last updated
12/20/2023
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