Organization
SKIN & LASER SURGERY CENTER OF NEW ENGLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIL A KHATRI M.D. (OWNER)
(978) 453-5559
Entity
Organization
Contact information
Practice address
6 COURTHOUSE LN, SUITE 7, CHELMSFORD, MA 01824-1724
(978) 453-5559
(978) 453-4459
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
—
0082924
AETNA
—
01
—
715100
TUFTS HEALTH PLAN
MA
01
—
9427
HEALTHSOURCE
—
01
—
CL6494
RAILROAD MEDICARE
MA
01
—
M13479
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/12/2006
Last updated
09/13/2012
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