Organization
MEND MY SKIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY MENDESE MD (MEMBER)
(978) 235-1063
Entity
Organization
Contact information
Practice address
23 CENTENNIAL DR, PEABODY, MA 01960-7901
(978) 525-0100
Mailing address
15 CANDLEWOOD RD, LYNNFIELD, MA 01940-2437
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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