MEDICARE: DERMATOLOGY PARTNERS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1508930868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DERMATOLOGY PARTNERS INC

Provider Business Mailing Address
First Line	:	65 WALNUT ST
Second Line	:	STE 480
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-2118
Country	:	US
Telephone Number	:	781-431-7733
Fax Number	:	781-235-2665

Provider Business Practice Location Address
First Line	:	65 WALNUT ST
Second Line	:	STE 480
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-2118
Country	:	US
Telephone Number	:	781-431-7733
Fax Number	:	781-235-2665

Authorized Official
Title or Position	:	TREASURER
Name	:	RACHEL HERSCHENFELD
Credential	:	MD
Telephone Number	:	781-431-7733

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	08/22/2020

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Directions to “DERMATOLOGY PARTNERS INC ” Practice Location

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