Ann L Eldridge
Dermatologist
60 Munson Meeting Way Ste K
Chatham
, Massachusetts 02633-1992
Ann L Eldridge
Dermatologist
60 Munson Meeting Way Ste K
Chatham
, Massachusetts 02633-1992
(508) 945-0022
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Ann L Eldridge
- 60 Munson Meeting Way Ste K
- Chatham, MA
- Zip : 02633-1992
- Phone : (508) 945-0022
Second Address
- Ann L Eldridge
- 60 Munson Meeting Way Ste K
- Chatham, MA
- Zip : 02633-1992
- Phone : (508) 945-0022
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 76776 | MA |
National Provider Identifier
| NPI | 1023123791 |
|---|---|
| Provider Name | Ann L Eldridge |
| First Address | Chatham, MA 02633-1992 |
| Second Address | Chatham, MA 02633-1992 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2006 |
| Last Update Date | 20/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3116352 | (05) | MA |
| F50418 | (02) | MA |
| J13466 | BC/BS (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.