Organization
NORTHEAST DERMATOLOGY ASSOCIATES, PC
Active
Other names
NEDA
Organization subpart
No
Provider details
NPI number
Authorized official
LEILA BELL (CEO)
(978) 691-5699
Entity
Organization
Contact information
Practice address
138 CONANT ST, BEVERLY, MA 01915-1665
(978) 927-5254
Mailing address
401 ANDOVER ST, SUITE 101, NORTH ANDOVER, MA 01845-5076
(978) 691-5690
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
MA
207ND0101X
MOHS-Micrographic Surgery Physician
—
MA
207ND0900X
Dermatopathology Physician
—
MA
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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