Organization
ATTLEBORO DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW DAVID SAMEL MD (PHYSICIAN)
(508) 226-0400
Entity
Organization
Contact information
Practice address
152 EMORY ST, ATTLEBORO, MA 02703-2434
(508) 226-0400
(508) 226-3301
Mailing address
152 EMORY ST, ATTLEBORO, MA 02703-2434
(508) 226-0400
(508) 226-3301
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
76041
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005389
BLUE CHIP
RI
01
—
227085
RHODE ISLAND B/SHIELD
RI
01
—
401164
HARVARD PILGRIM
MA
01
—
695110
TUFTS
MA
05
—
9722301
—
MA
01
—
CK7613
RAILROAD MEDICARE
MA
01
—
M18034
BLUE SHIELD
MA
Enumeration date
03/10/2006
Last updated
12/01/2009
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