Integrated Dermatology of Mashton, LLC

NPI #1164069647 in Mashpee, Massachusetts

Provider Information

NPI Number: 1164069647
Entity Type: Organization
Organization Name: Integrated Dermatology of Mashton, LLC
Primary Specialty: Dermatology
Enumeration Date: Dec 4, 2019
Last Updated: Dec 4, 2019

Practice Location

Address: 800 FALMOUTH RD STE 101
City: Mashpee
State: Massachusetts
ZIP Code: 02649-3303
Phone: (508) 477-0391

Authorized Official

Name: ADAM S PLOTKIN, MD
Title: AUTHORIZED GROUP OFFICIAL
Phone: (561) 314-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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