Organization
WATERTOWN DERMATOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI LAROSA (OFFICE MANAGER)
(617) 923-8433
Entity
Organization
Contact information
Practice address
40 SPRING ST, WATERTOWN, MA 02472-3474
(617) 923-8433
(617) 923-8466
Mailing address
40 SPRING ST, WATERTOWN, MA 02472-3474
(617) 923-8433
(617) 923-8466
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
53035
MA
207N00000X
Dermatology Physician
71817
MA
Other
Enumeration date
07/03/2017
Last updated
07/21/2022
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