Provider Demographics
NPI:1073992780
Name:NESC METROWEST, LLC
Entity Type:Organization
Organization Name:NESC METROWEST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:DALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-244-0060
Mailing Address - Street 1:33 VILLAGE SQ
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-2712
Mailing Address - Country:US
Mailing Address - Phone:978-244-0060
Mailing Address - Fax:978-244-2522
Practice Address - Street 1:154 E CENTRAL ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-3644
Practice Address - Country:US
Practice Address - Phone:978-244-0060
Practice Address - Fax:978-244-2522
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DERMCARE PHYSICIANS & SURGEONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-27
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Multi-Specialty