Dermasap Pllc

LBN: Dermasap Pllc
Dermasap Pllc is an health care organization with primary practice located at 500 Congress St B1, Quincy MA 02169-0908. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Dermasap Pllc can be contacted via phone (617) 472-6764, or through Goodwin, Staci via phone (617) 472-6764.

Contact Information

Primary practice address
500 Congress St B1 Quincy MA 02169-0908
Phone: (617) 472-6764
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goodwin, Staci
Phone: (617) 472-6764

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 49076 Massachusetts

Profile Details

NPI number 1477937480
LBN Legal business name Dermasap Pllc
DBA Doing business as
Authorized official Goodwin, Staci
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2015
Last updated Dec 27th, 2016 - about 8 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 1477937480 NPPES
Massachusetts MEDICAID 043214763

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