New England Dermatology & Laser Center

LBN: New England Dermatology, P.C.
New England Dermatology & Laser Center is an health care organization with primary practice located at 3455 Main St Suite 5, Springfield MA 01107-1147. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. New England Dermatology, P.C. can be contacted via phone (413) 733-9600, or through Ivker, Rachel A via phone (413) 733-9600.

Contact Information

Primary practice address
3455 Main St Suite 5 Springfield MA 01107-1147
Fax: (413) 732-6534
Website:
Authorized official contact:
Name: Ivker, Rachel A Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1356348098
LBN Legal business name New England Dermatology, P.C.
DBA Doing business as New England Dermatology & Laser Center
Authorized official Ivker, Rachel A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 21st, 2022 - about 3 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 1356348098 NPPES
Massachusetts Other NEM11488 BLUE CROSS BLUE SHIELD
Massachusetts Other CC5429 BLUE CROSS BLUE SHIELD
Massachusetts Other CE3094 BLUE CROSS BLUE SHIELD
Massachusetts Other 607424 BLUE CROSS BLUE SHIELD

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