Unknown Individual – Dermatology Physician, NPI 1285611970
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
49, Pearl Street, Brockton Heights, Brockton, Plymouth County, Massachusetts, 03201, United States
STE DOB-915
BROCKTON, MA 023012817
Phone: (508) 580-1020
Fax: (508) 583-6232
Type: Location
850, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States
YACC BN-C7
BOSTON, MA 021184001
Phone: (617) 414-5405
Fax: (617) 414-6031
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02301)
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