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Cranberry Square Dermatology Pc
Specialist in South Dennis, Massachusetts
NPI 1982829495

Cranberry Square Dermatology Pc is a Specialist based in South Dennis, MA. Cranberry Square Dermatology Pc practices in South Dennis, MA. The NPI Number for Cranberry Square Dermatology Pc is 1982829495 and holds a License No. 80792 (Massachusetts).

The current practice location address for Cranberry Square Dermatology Pc is 434 Route 134, South Dennis, MA and can be reached out via phone at 508-394-5556 and via fax at 508-394-2735.

Location: 434 Route 134, South Dennis, MA, 02660-3433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982829495
Provider Name
Cranberry Square Dermatology Pc
Credential
Provider Entity Type
Organization
Address
434 Route 134, South Dennis, MA, 02660-3433
Phone Number
508-394-5556
Fax Number
508-394-2735
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000M16787 01 MA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
434 Route 134
City
South Dennis
State
Massachusetts
Zip
02660-3433
Phone Number
508-394-5556
Fax Number
508-394-2735
person
Provider Business Mailing Address Details
Address
434 Route 134
City
South Dennis
State
Massachusetts
Zip
02660-3433
Phone Number
508-394-5556
Fax Number
508-394-2735
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
80792 (Massachusetts)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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