DERMATOLOGY & SKIN CARE ASSOC PC NPI 1003005331

Dermatology in Wellesley, MA

About DERMATOLOGY & SKIN CARE ASSOC PC

Dermatology & Skin Care Assoc Pc is a provider in Wellesley, MA. The NPI number assigned to this provider is 1003005331. The practitioner's primary taxonomy code is Dermatology (207N00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Dermatology & Skin Care Assoc Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Dermatology Associates Of Greater Boston Pc.

NPI1003005331 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDERMATOLOGY & SKIN CARE ASSOC PC
Provider Location Address10 LAUREL AVE SUITE 300 WELLESLEY, MA 02481 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address10 LAUREL AVE SUITE 300 WELLESLEY, MA 02481 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameDERMATOLOGY ASSOCIATES OF GREATER BOSTON PC Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeFormer Legal Business Name (4)
Enumeration Date10-23-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date03-27-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DERMATOLOGY & SKIN CARE ASSOC PC
10 LAUREL AVE SUITE 300
WELLESLEY, MA
ZIP 02481
Phone: (781) 235-8155
Fax: (781) 235-2855
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Mailing Address

DERMATOLOGY & SKIN CARE ASSOC PC
10 LAUREL AVE SUITE 300
WELLESLEY, MA
ZIP 02481
Phone: (781) 235-8155
Fax: (781) 235-2855

Primary Taxonomy

Taxonomy Code207N00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
License No.216859
License StateMA
Taxonomy DescriptionA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Authorized Official

Authorized Official NameDR. PAMELA K WEINFELD MD Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT
Authorized Official Phone(781) 235-8155

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
M19446OTHER (01)MA
H90994MEDICARE UPIN (02)

Map Location


DERMATOLOGY & SKIN CARE ASSOC PC address is 10 LAUREL AVE SUITE 300 WELLESLEY, MA 02481