South End Dermatology And Skin Care, Inc.
LBN: South End Skin Care, Inc.
South End Dermatology And Skin Care, Inc. is an health care organization with primary practice located at 321 Columbus Avenue Suite 2R, Boston MA 02116-5114. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is the primary health care specialty.
South End Skin Care, Inc. can be contacted via phone (857) 362-7330, or through Schanbacher, Carl F. via phone (857) 362-7330.
Contact Information
Primary practice address
321 Columbus Avenue Suite 2R
Boston MA 02116-5114
Phone: (857) 362-7330
Fax: (857) 362-7332
Website:
Authorized official contact:
Name: Schanbacher, Carl F. Doctor of Medicine (MD)
Phone: (857) 362-7330
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X |
Profile Details
| NPI number | 1376721167 |
|---|---|
| LBN Legal business name | South End Skin Care, Inc. |
| DBA Doing business as | South End Dermatology And Skin Care, Inc. |
| Authorized official | Schanbacher, Carl F. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2008 |
| Last updated | Aug 5th, 2008 - about 16 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 | 1376721167 | NPPES |
| Massachusetts | Other | 0005608 | MEDICARE PTAN |
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