Organization
SKINCARE PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE KILAWEE (BILLING MANAGER)
(617) 848-1611
Entity
Organization
Contact information
Practice address
1244 BOYLSTON ST, SUITE 302, CHESTNUT HILL, MA 02467-2116
(617) 731-1600
(617) 731-1601
Mailing address
1244 BOYLSTON ST, SUITE 302, CHESTNUT HILL, MA 02467-2116
(617) 731-1600
(617) 731-1601
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M17880
BLUE SHIELD
MA
Enumeration date
06/26/2006
Last updated
12/14/2015
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