Organization
MODERN DERMATOLOGY OF MASSACHUSETTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIK DOMINGUES MD (DERMATOLOGIST)
(508) 974-3037
Entity
Organization
Contact information
Practice address
10 N MAIN ST STE 402, FALL RIVER, MA 02720-2130
(508) 974-3037
(434) 423-4783
Mailing address
7 LAMBERT LN, WARREN, RI 02885-1639
(508) 974-3037
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
01/20/2024
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