Whalio Doctors

NPI 1023515277

Vibrant Dermatology PLLC

Organisation Dermatology Physician Dedham, MA

Practice location

Address
588 Providence Hwy, Dedham, MA 02026-6804
Phone
(781) 708-9299
Fax
(855) 699-6813
Mailing address
226 Dedham St, Canton, MA 02021-1566

Authorised official

Name
Joyce Imahiyerobo
Title
Owner/Provider
Phone
(617) 840-9034

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 254815 (MA)

Registry record

NPI
1023515277
Entity type
Organization
NPI issued
12 Apr 2018
Record last updated
29 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.