Central Mass Dermatology
LBN: Central Mass Dermatology
Central Mass Dermatology is an health care organization with primary practice located at 222 Main Street , Southbridge MA 01550-2593. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Procedural Dermatology is the primary health care specialty.
Central Mass Dermatology can be contacted via phone (508) 765-7711, or through Swanson, Kathryn Edith via phone (508) 765-7711.
Contact Information
Primary practice address
222 Main Street
Southbridge MA 01550-2593
Phone: (508) 765-7711
Fax: (508) 765-7713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 178544 | Massachusetts |
Profile Details
| NPI number | 1730339284 |
|---|---|
| LBN Legal business name | Central Mass Dermatology |
| DBA Doing business as | |
| Authorized official | Swanson, Kathryn Edith MSN FNP-BC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2008 |
| Last updated | Jan 3rd, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730339284 | NPPES |
| Massachusetts | MEDICAID | 110081099A |
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