Active NPIOrganization

Commonwealth Dermatology PLLC

Dermatology in Worcester, Massachusetts

NPI Number1205405834
Practice location
100 Mlk Jr Blvd Ste 200, Worcester, MA 01608-1209
Fax
—
Last updated
June 18, 2021

Commonwealth Dermatology PLLC is a healthcare organization based in Worcester, MA. Commonwealth Dermatology PLLC practices in Worcester, MA. The NPI Number for Commonwealth Dermatology PLLC is 1205405834. The current practice location address for Commonwealth Dermatology PLLC is 100 Mlk Jr Blvd Ste 200, Worcester, MA 01608-1209 and can be reached out via phone at 774-389-0887.

Provider Profile Details

NPI Number
1205405834
Provider Name
Commonwealth Dermatology PLLC
Provider Entity Type
Organization
Address
100 Mlk Jr Blvd Ste 200, Worcester, MA 01608-1209
Phone Number
774-389-0887
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Sadaf Waqar, MD · Owner · 561-654-1789
Provider Enumeration Date
June 18, 2021
Last Update Date
June 18, 2021
Certification Date
June 18, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Mlk Jr Blvd Ste 200
Worcester, MA 01608-1209
Zip
01608-1209
Phone Number
774-389-0887
Worcester, MA 01608Get directions →

Provider Business Mailing Address Details

Address
100 Mlk Jr Blvd Ste 200
Worcester, MA 01608-1209
City
Worcester
State
MA
Zip
01608-1209
Phone Number
774-389-0887

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 Commonwealth Dermatology PLLC?

The NPI number of Commonwealth Dermatology PLLC is 1205405834. It was assigned on June 18, 2021 and is currently active in the NPPES registry.

What is the specialty of Commonwealth Dermatology PLLC?

Commonwealth Dermatology PLLC is registered under the primary taxonomy Dermatology (code 207N00000X).

Where does Commonwealth Dermatology PLLC practice?

The practice location is 100 Mlk Jr Blvd Ste 200, Worcester, MA 01608-1209. The office can be reached at 774-389-0887 (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 1205405834 directly on the NPPES registry website.

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