Andover Dermatology, PC
NPI 1629293485ActiveOrganization· Dermatology· Andover, MA
Dermatology in Andover, Massachusetts, registered in NPPES in April 2007. The authorized official on file is Christine H. Andersen, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1629293485 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 16, 2007 |
| Last updated in NPPES | Jul 9, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (NH) |
|---|
Other Dermatology providers in Andover
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