South Coast Dermatology Llc

LBN: South Coast Dermatology Llc
South Coast Dermatology Llc is an health care organization with primary practice located at 90 Libbey Pkwy Suite 200, Weymouth MA 02189-3100. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. South Coast Dermatology Llc can be contacted via phone (781) 335-9700, or through Degiacomo, Teresa via phone (781) 335-9700.

Contact Information

Primary practice address
90 Libbey Pkwy Suite 200 Weymouth MA 02189-3100
Phone: (781) 335-9700
Fax: (781) 335-9709
Website:
Map and Directions
Authorized official contact:
Name: Degiacomo, Teresa Doctor of Medicine (MD)
Phone: (781) 335-9700

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1215911383
LBN Legal business name South Coast Dermatology Llc
DBA Doing business as
Authorized official Degiacomo, Teresa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2005
Last updated Feb 22nd, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215911383 NPPES
Other M17965 BC/BS
Other 691531 BC/BS
MEDICAID 9713361 BC/BS

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