CANTON DERMATOLOGY CLINIC, INC – NPI #1295819290
Dermatology

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

CANTON DERMATOLOGY CLINIC, INC is a dermatologist located in CANTON, MA. NPPES has assigned the NPI number 1295819290 to CANTON DERMATOLOGY CLINIC, INC on October 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207NS0135X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Procedural Dermatology

The NPI profile was previously updated about 12 years ago on Aug 11, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CANTON DERMATOLOGY CLINIC, INC below.

NPI Profile for
CANTON DERMATOLOGY CLINIC, INC

NPI Number
1295819290
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CANTON DERMATOLOGY CLINIC, INC
Primary location
95 WASHINGTON ST
CANTON, MA 02021-4006
Phone: (781) 821-2888 Fax: (781) 821-8684
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAFAR KOUPAIE
PRESIDENT
Phone: (781) 821-2888
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207NS0135X
- Dermatology / Procedural Dermatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.