Gk Dermatology Shn, LLC

NPI #1891239083 in South Weymouth, Massachusetts

Provider Information

NPI Number: 1891239083
Entity Type: Organization
Organization Name: Gk Dermatology Shn, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: GK DERMATOLOGY, PC
Primary Specialty: Dermatology
Enumeration Date: Dec 7, 2016
Last Updated: Dec 7, 2016

Practice Location

Address: 541 MAIN STREET
Address 2: SUITE 320
City: South Weymouth
State: Massachusetts
ZIP Code: 02190-1845
Phone: (781) 812-1078

Authorized Official

Name: GEORGE KROUMPOUZOS, MD
Title: PRESIDENT
Phone: (781) 812-1078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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