Provider Demographics
NPI:1508930868
Name:DERMATOLOGY PARTNERS INC
Entity Type:Organization
Organization Name:DERMATOLOGY PARTNERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERSCHENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-431-7733
Mailing Address - Street 1:65 WALNUT ST
Mailing Address - Street 2:STE 480
Mailing Address - City:WELLESLEY HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02481-2118
Mailing Address - Country:US
Mailing Address - Phone:781-431-7733
Mailing Address - Fax:781-235-2665
Practice Address - Street 1:65 WALNUT ST
Practice Address - Street 2:STE 480
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-2118
Practice Address - Country:US
Practice Address - Phone:781-431-7733
Practice Address - Fax:781-235-2665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty