Organization
BOSTON MEDICAL AND SURGICAL DERMATOLOGY
Active
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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