North Andover Dermatology Inc

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

150484 Issued in MA

Legal business name

NORTH ANDOVER DERMATOLOGY INC

Practice address

198 Massachusetts Ave
Ste 105
N Andover, MA 01845-4143

Phone

(978) 687-3335

Fax

(978) 689-9041

NPI assigned

Aug 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jo P Marchisio

Title

Accts Manager

Phone

(978) 687-3335

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1184637464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 MASSACHUSETTS AVE",
            "address_2": "STE 105",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018454143",
            "telephone_number": "978-687-3335",
            "fax_number": "978-689-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 MASSACHUSETTS AVE",
            "address_2": "STE 105",
            "city": "N ANDOVER",
            "state": "MA",
            "postal_code": "018454143",
            "telephone_number": "978-687-3335",
            "fax_number": "978-689-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ANDOVER DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "MARCHISIO",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ACCTS MANAGER",
        "authorized_official_telephone_number": "978-687-3335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MA",
            "license": "150484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184637464",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9775927",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth T Curtis, MD
• Mark F Delorenzo, DC
• Michel Lirette, MD
• Ronald Allen Marvin, M.D.
• New England Ear Nose & Throat/Facial Plastic Surgery,P.C.
• OB-GYN Women's Care
• Orthopaedics Northeast P.C.
• William S Postal, MD
• Yookyung K Selig, MD
• Prerak Shah, MD

• Procedural Dermatology Physician in N Andover, MA
• Providers in N Andover, MA by specialty
• Procedural Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.