Fall River Dermatology PC

NPI #1811232820 in Fall River, Massachusetts

Provider Information

NPI Number: 1811232820
Entity Type: Organization
Organization Name: Fall River Dermatology PC
Primary Specialty: Dermatology
Enumeration Date: Dec 2, 2012
Last Updated: Dec 2, 2012

Practice Location

Address: 191 BEDFORD ST
City: Fall River
State: Massachusetts
ZIP Code: 02720-3050
Phone: (508) 567-4550

Authorized Official

Name: DR. DANIEL E VIDERS, MD
Title: OWNER
Phone: (508) 847-6616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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