MEDICARE: THE DERMATOLOGY CENTER OF WORCESTER LLC

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	22309	MA

General Provider Information

NPI Number	:	1538484837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE DERMATOLOGY CENTER OF WORCESTER LLC

Provider Business Mailing Address
First Line	:	405 GROVE ST
Second Line	:	SUITE 304
City	:	WORCESTER
State	:	MA
Zip	:	01605-1270
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 PARK AVE STE 509
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01609-1989
Country	:	US
Telephone Number	:	508-890-5500
Fax Number	:	508-890-5505

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	CAMILLE ROBERTS
Credential	:	MD
Telephone Number	:	229-444-5088

Provider Enumeration Date	:	03/30/2010
Last Update Date	:	02/22/2024

Similar Medicare Providers

1801048921 — KATIE BROUILLARD O'BRIEN NP
Practice Location Address:

255 PARK AVE STE 509
WORCESTER, MA
01609-1989

Practice Phone: 508-890-5500
Practice Fax: 508-890-5505

1841361060 — DR. AMMAR BASH DMD
Practice Location Address:

255 PARK AVE STE 405
WORCESTER, MA
01609-1989

Practice Phone: 508-757-3466
Practice Fax:

1487714812 — CARL COHEN DMD PC
Practice Location Address:

255 PARK AVE , SUITE 405
WORCESTER, MA
01609-1989

Practice Phone: 505-754-6566
Practice Fax: 508-757-8866

1134578719 — COUNSELING & ASSESSMENT CLINIC OF WORCESTER, LLC
Practice Location Address:

255 PARK AVE STE 412
WORCESTER, MA
01609-1989

Practice Phone: 508-756-5400
Practice Fax:

1861946097 — SARA ARBOR
Practice Location Address:

255 PARK AVE STE 509
WORCESTER, MA
01609-1989

Practice Phone: 413-687-5208
Practice Fax:

1073071171 — PEDRO J ESPINO
Practice Location Address:

255 PARK AVE STE 500
WORCESTER, MA
01609-1989

Practice Phone: 508-304-7397
Practice Fax: 508-304-7401

Directions to “THE DERMATOLOGY CENTER OF WORCESTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.