Organization
BOSTON MEDICAL AND SURGICAL DERMATOLOGY
Active
Other names
Boston Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
SAEED NAWAZ JAFFER M.D. (OWNER)
(626) 653-2525
Entity
Organization
Contact information
Practice address
247 W SAN BERNARDINO RD, COVINA, CA 91723-1516
(626) 653-2525
(626) 967-3775
Mailing address
247 W SAN BERNARDINO RD, COVINA, CA 91723-1516
(626) 653-2525
(626) 967-3775
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A74086
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A74086
CA
207ND0900X
Dermatopathology Physician
A74086
CA
207NP0225X
Pediatric Dermatology Physician
A74086
CA
207NS0135X
Procedural Dermatology Physician
A74086
CA
Other
Enumeration date
09/24/2007
Last updated
03/18/2008
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