Organization
FAMILY DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA LAWRENCE SKOLNIK M.D. (PRESIDENT)
(978) 369-7701
Entity
Organization
Contact information
Practice address
747 MAIN ST STE 212, CONCORD, MA 01742-3330
(978) 369-7701
(978) 369-7702
Mailing address
747 MAIN ST STE 212, CONCORD, MA 01742-3330
(978) 369-7701
(978) 369-7702
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
209782
MA
207NP0225X
Pediatric Dermatology Physician
209782
MA
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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