Organization
BROOKLINE DERMATOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYJANE MUSHOW (CHIEF OPERATING OFFICER)
(617) 608-1575
Entity
Organization
Contact information
Practice address
235 CYPRESS ST, SUITE 200, BROOKLINE, MA 02445-6776
(617) 277-0800
(617) 277-0899
Mailing address
1208B VFW PKWY, SUTIE 200, WEST ROXBURY, MA 02132-4349
(617) 608-1575
(617) 605-1576
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
57991
MA
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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