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1508816042 NPI number — SKIN & LASER SURGERY CENTER OF NEW ENGLAND

NPI Number: 1508816042
Health Care Provider/Practitioner: SKIN & LASER SURGERY CENTER OF NEW ENGLAND

Information about “1508816042” NPI (SKIN & LASER SURGERY CENTER OF NEW ENGLAND) exists in 1508816042 in HTML format HTML  |  1508816042 in plain Text format TXT  |  1508816042 in PDF (Portable Document Format) PDF  |  1508816042 in an XML format XML  formats.

NPI Number : 1508816042 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508816042",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SKIN & LASER SURGERY CENTER OF NEW ENGLAND",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "74 ALLDS ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NASHUA",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03060-4745",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-886-5506",
    "MailingAddressFaxNumber": "603-594-2585",
    "FirstLinePracticeLocationAddress": "6 COURTHOUSE LN",
    "SecondLinePracticeLocationAddress": "SUITE 7",
    "PracticeLocationAddressCityName": "CHELMSFORD",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01824-1724",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "978-453-5559",
    "PracticeLocationAddressFaxNumber": "978-453-4459",
    "EnumerationDate": "05/12/2006",
    "LastUpdateDate": "09/13/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KHATRI",
    "AuthorizedOfficialFirstName": "KHALIL",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "978-453-5559",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207N00000X",
        "TaxonomyName": "Dermatology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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