Organization
SOUTH END SKIN CARE, INC.
Active
Other names
South End Dermatology and Skin Care, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL F. SCHANBACHER M.D. (PRESIDENT)
(857) 362-7330
Entity
Organization
Contact information
Practice address
321 COLUMBUS AVENUE, SUITE 2R, BOSTON, MA 02116-5114
(857) 362-7330
(857) 362-7332
Mailing address
321 COLUMBUS AVENUE, SUITE 2R, BOSTON, MA 02116-5114
(857) 362-7330
(857) 362-7332
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005608
MEDICARE PTAN
MA
Enumeration date
02/05/2008
Last updated
08/05/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us