Cranberry Square Dermatology Pc

LBN: Cranberry Square Dermatology Pc
Cranberry Square Dermatology Pc is an health care organization with primary practice located at 434 Route 134 Suite 1A, South Dennis MA 02660-3433. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Cranberry Square Dermatology Pc can be contacted via phone (508) 394-5556, or through Koff, Amy Beth via phone (508) 394-5556.

Contact Information

Primary practice address
434 Route 134 Suite 1A South Dennis MA 02660-3433
Phone: (508) 394-5556
Fax: (508) 394-2735
Website:
Map and Directions
Authorized official contact:
Name: Koff, Amy Beth Doctor of Medicine (MD)
Phone: (508) 394-5556

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 80792 Massachusetts

Profile Details

NPI number 1982829495
LBN Legal business name Cranberry Square Dermatology Pc
DBA Doing business as
Authorized official Koff, Amy Beth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Aug 28th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982829495 NPPES
Massachusetts Other 0000M16787 BLUE CROSS BLUE SHIELD

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