Organization
THE SKIN & LASER SURGERY CENTER OF NE
Active
Organization
THE SKIN & LASER SURGERY CENTER OF NE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIL A KHATRI M.D. (OWNER)
(603) 886-5506
Entity
Organization
Contact information
Practice address
74 ALLDS ST, NASHUA, NH 03060-4757
(603) 886-5506
(603) 594-2585
Mailing address
74 ALLDS ST, NASHUA, NH 03060-4745
(603) 886-5506
(603) 594-2585
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125631
AETNA
NH
01
—
336743
TUFTS HEALTH PLAN
NH
01
—
46467
HEALTHSOURCE
NH
Enumeration date
05/12/2006
Last updated
09/13/2012
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