Id Of Massachusetts LLC
Dermatology in Quincy, Massachusetts
1477229326- Practice location
- 104 Quarry St Ste 2, Quincy, MA 02169-4174
- Phone
- 617-472-6764
- Fax
- 617-770-9933
- Last updated
- January 27, 2026
Id Of Massachusetts LLC is a healthcare organization based in Quincy, MA. Id Of Massachusetts LLC practices in Quincy, MA. The NPI Number for Id Of Massachusetts LLC is 1477229326. The current practice location address for Id Of Massachusetts LLC is 104 Quarry St Ste 2, Quincy, MA 02169-4174 and can be reached out via phone at 617-472-6764 and via fax at 617-770-9933.
Provider Profile Details
- NPI Number
- 1477229326
- Provider Name
- Id Of Massachusetts LLC
- Provider Entity Type
- Organization
- Address
- 104 Quarry St Ste 2, Quincy, MA 02169-4174
- Phone Number
- 617-472-6764
- Fax Number
- 617-770-9933
- Primary Taxonomy
- Dermatology · 207N00000X
- Organization Subpart
- No
- Authorized Official
- Jennifer L Jackson · Authorized Official · 561-223-8081
- Provider Enumeration Date
- August 20, 2021
- Last Update Date
- January 27, 2026
- Certification Date
- January 27, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 104 Quarry St Ste 2
Quincy, MA 02169-4174 - City
- Quincy
- State
- Massachusetts
- Zip
- 02169-4174
- Phone Number
- 617-472-6764
- Fax Number
- 617-770-9933
Provider Business Mailing Address Details
- Address
- 4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450 - City
- Boca Raton
- State
- FL
- Zip
- 33431-4450
- Phone Number
- 561-314-2000
License Information
- Taxonomy
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near Quincy, MA
View all Dermatology providers in Quincy →- Adams Street Dermatology Assoc, PCDermatology · NPI 1164693289
- Associates Of South Shore DermatologyDermatology · NPI 1942406210
- Associates Of South Shore Dermatology LLCDermatology · NPI 1710387386
- Candace M Broussard-Steinberg, MDDermatology · NPI 1568810935
- Dermasap PLLCDermatology · NPI 1477937480
- Dermcare Experts LLCDermatology · NPI 1982376182
Frequently Asked Questions
What is the NPI number of Id Of Massachusetts LLC?
The NPI number of Id Of Massachusetts LLC is 1477229326. It was assigned on August 20, 2021 and is currently active in the NPPES registry.
What is the specialty of Id Of Massachusetts LLC?
Id Of Massachusetts LLC is registered under the primary taxonomy Dermatology (code 207N00000X).
Where does Id Of Massachusetts LLC practice?
The practice location is 104 Quarry St Ste 2, Quincy, MA 02169-4174. The office can be reached at 617-472-6764 (phone) or 617-770-9933 (fax).
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 1477229326 directly on the NPPES registry website.