Organization
CENTRAL MASS DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN E SWANSON FNP (OWNER)
(508) 765-7711
Entity
Organization
Contact information
Practice address
222 MAIN STREET, SOUTHBRIDGE, MA 01550-2593
(508) 765-7711
(508) 765-7713
Mailing address
222 MAIN STREET, SOUTHBRIDGE, MA 01550-2593
(508) 765-7711
(508) 765-7713
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
178544
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110081099A
—
MA
Enumeration date
09/21/2008
Last updated
08/14/2025
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