Organization
FAMILY DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA SKOLNIK (PRESIDENT)
(978) 369-7701
Entity
Organization
Contact information
Practice address
747 MAIN ST STE 212, CONCORD, MA 01742-3330
(978) 369-7701
Mailing address
747 MAIN STREET, SUITE #212, FAMILY DERMATOLOGY, P.C., CONCORD, MA 01742
(978) 369-7701
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
209782
MA
207NP0225X
Pediatric Dermatology Physician
209782
MA
Other
Enumeration date
06/13/2017
Last updated
11/21/2022
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