Organization
NEDAN LLC
Active
Other names
NORTHEAST DERMATOLOGY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MATHISON-REYNOLDS (CREDENTIALING MANAGER)
(937) 241-5930
Entity
Organization
Contact information
Practice address
538 TURNPIKE ST, NORTH ANDOVER, MA 01845-5812
(978) 691-5690
(978) 691-5693
Mailing address
280 MERRIMACK ST STE 311, LAWRENCE, MA 01843-1779
(978) 691-5690
(978) 691-5693
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
10/23/2024
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