Organization
DERMATOLOGY ASSOCIATES OF CONCORD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY P HADLEY M.D. (PRESIDENT)
(978) 369-9023
Entity
Organization
Contact information
Practice address
290 BAKER AVE, CONCORD, MA 01742-2189
(978) 369-9023
(978) 371-9675
Mailing address
290 BAKER AVE, CONCORD, MA 01742-2189
(978) 369-9023
(978) 371-9675
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9703713
—
MA
01
—
M11607
BLUE S HIELD
MA
Enumeration date
09/20/2006
Last updated
09/27/2017
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