Unknown Individual – Dermatopathology (Pathology) Physician, NPI 1790776227

Unknown Individual is a healthcare provider. based in Charlestown, Massachusetts. specializing in Dermatopathology (Pathology) Physician. They hold a License No. 32178 (MA). The NPI Number for Unknown Individual is 1790776227

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790776227
Phone
(617) 724-0287
Address
PO BOX 9142
Deactivation Date
30 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom

    MASS GENERAL PHYSICIAN ORGANIZATION

    CHARLESTOWN, MA 021299142

    Phone: (617) 724-0287

    Fax: (617) 726-2894

    Type: Mailing

  • 55 FRUIT STREET WRN 2

    PATHOLOGY ASSOCIATES

    BOSTON, MA 021142696

    Phone: (617) 726-8891

    Fax: (617) 726-7474

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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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 02129)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1790776227.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Dermatopathology (Pathology) Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Charlestown, Massachusetts?
For routing, start with Charlestown, Massachusetts for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.