Organization
GK DERMATOLOGY SHN, LLC
Active
Parent organization
GK DERMATOLOGY, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GK DERMATOLOGY, PC
Authorized official
GEORGE KROUMPOUZOS MD (PRESIDENT)
(781) 812-1078
Entity
Organization
Contact information
Practice address
541 MAIN STREET, SUITE 320, SOUTH WEYMOUTH, MA 02190-1845
(781) 812-1078
Mailing address
541 MAIN STREET, SUITE 320, SOUTH WEYMOUTH, MA 02190-1845
(781) 812-1078
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
159743
MA
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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