Organization
HINES DERMATOLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE C. HINES M.D. (MEDICAL DIRECTOR)
(508) 222-1976
Entity
Organization
Contact information
Practice address
555 PLEASANT ST, SUITE 106, ATTLEBORO, MA 02703-2400
(508) 222-1976
(508) 226-9619
Mailing address
555 PLEASANT ST, SUITE 106, ATTLEBORO, MA 02703-2400
(508) 222-1976
(508) 226-9619
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9777857
—
MA
Enumeration date
05/25/2006
Last updated
05/21/2012
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