Active NPIOrganization

Advanced Dermatology Of Melrose, PLLC

Dermatology in Melrose, Massachusetts

NPI Number1013678747
Practice location
802 Main St, Melrose, MA 02176-2708
Fax
—
Last updated
January 5, 2022

Advanced Dermatology Of Melrose, PLLC is a healthcare organization based in Melrose, MA. Advanced Dermatology Of Melrose, PLLC practices in Melrose, MA. The NPI Number for Advanced Dermatology Of Melrose, PLLC is 1013678747. The current practice location address for Advanced Dermatology Of Melrose, PLLC is 802 Main St, Melrose, MA 02176-2708 and can be reached out via phone at 978-371-7010.

Provider Profile Details

NPI Number
1013678747
Provider Name
Advanced Dermatology Of Melrose, PLLC
Provider Entity Type
Organization
Address
802 Main St, Melrose, MA 02176-2708
Phone Number
978-371-7010
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
Yes
Parent Organization
Steven I. Kornbleuth, MD
Authorized Official
Samuel Goos · Owner · 978-371-7010
Provider Enumeration Date
January 5, 2022
Last Update Date
January 5, 2022
Certification Date
January 5, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
802 Main St
Melrose, MA 02176-2708
Zip
02176-2708
Phone Number
978-371-7010
Melrose, MA 02176Get directions →

Provider Business Mailing Address Details

Address
526 Main St Ste 302
Acton, MA 01720-3301
City
Acton
State
MA
Zip
01720-3301
Phone Number
978-371-7010

License Information

Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Advanced Dermatology Of Melrose, PLLC?

The NPI number of Advanced Dermatology Of Melrose, PLLC is 1013678747. It was assigned on January 5, 2022 and is currently active in the NPPES registry.

What is the specialty of Advanced Dermatology Of Melrose, PLLC?

Advanced Dermatology Of Melrose, PLLC is registered under the primary taxonomy Dermatology (code 207N00000X).

Where does Advanced Dermatology Of Melrose, PLLC practice?

The practice location is 802 Main St, Melrose, MA 02176-2708. The office can be reached at 978-371-7010 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013678747 directly on the NPPES registry website.

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