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Organization

DERMPATH NEW ENGLAND, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DINA VALLADARES (SENIOR DIRECTOR)
(954) 803-9405
Entity
Organization

Contact information

Practice address
20 WALNUT ST STE 301, WELLESLEY, MA 02481-2104
(617) 254-7284
(617) 254-4116
Mailing address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(615) 145-8225
(844) 751-9263

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
3429
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110074861A
MA
01
22D1049111
CLIA
MA
Enumeration date
10/13/2006
Last updated
04/07/2026
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