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Central Mass Dermatology
Family Nurse Practitioner in Southbridge, Massachusetts
NPI 1730339284

Central Mass Dermatology is a Family Nurse Practitioner based in Southbridge, MA and is specialized in Family. Central Mass Dermatology practices in Southbridge, MA. The NPI Number for Central Mass Dermatology is 1730339284 and holds a License No. (Massachusetts).

The current practice location address for Central Mass Dermatology is 222 Main Street, Southbridge, MA and can be reached out via phone at 508-765-7711 and via fax at 508-765-7713.

Location: 222 Main Street, Southbridge, MA, 01550-2593
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730339284
Provider Name
Central Mass Dermatology
Credential
Provider Entity Type
Organization
Address
222 Main Street, Southbridge, MA, 01550-2593
Phone Number
508-765-7711
Fax Number
508-765-7713
Provider Enumeration Date
09/21/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110081099A 05 MA
institution
Provider Business Practice Location Address Details
Address
222 Main Street
City
Southbridge
State
Massachusetts
Zip
01550-2593
Phone Number
508-765-7711
Fax Number
508-765-7713
person
Provider Business Mailing Address Details
Address
222 Main Street
City
Southbridge
State
Massachusetts
Zip
01550-2593
Phone Number
508-765-7711
Fax Number
508-765-7713
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
207NS0135X
License No.
178544 (Massachusetts)
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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