Canton Dermatology Clinic, INC
NPI #1295819290 in Canton, Massachusetts
Provider Information
- NPI Number
- 1295819290
- Entity Type
- Organization
- Organization Name
- Canton Dermatology Clinic, INC
- Primary Specialty
- Dermatology - Procedural Dermatology
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Aug 11, 2014
Practice Location
- Address
- 95 WASHINGTON ST
- City
- Canton
- State
- Massachusetts
- ZIP Code
- 02021-4006
- Phone
- (781) 821-2888
Authorized Official
- Name
- JAFAR KOUPAIE, MD
- Title
- PRESIDENT
- Phone
- (781) 821-2888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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