Organization
APDERM NORTH, PC
Active
Parent organization
ADULT & PEDIATRIC DERMATOLOGY, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADULT & PEDIATRIC DERMATOLOGY, PC
Authorized official
MR. GLENN WILSON SMITH MHA (CHIEF OPERATING OFFICER)
(978) 849-7501
Entity
Organization
Contact information
Practice address
526 MAIN ST STE 302, ACTON, MA 01720-3301
(978) 371-7010
(978) 371-0522
Mailing address
526 MAIN ST STE 302, ACTON, MA 01720-3301
(978) 371-7010
(978) 371-0522
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/13/2012
Last updated
07/21/2022
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