Individual
MADELINE E DEWANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2914
Mailing address
50 STANIFORD ST STE 200, BOSTON, MA 02114-2543
(617) 726-2914
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1018815
MA
Other
Enumeration date
04/08/2020
Last updated
07/26/2024
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