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Jeremy S Bordeaux

Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon

281 Lincoln Street Umass Dermatology Hahnemann Campus
Worcester , Massachusetts 01605

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Jeremy S Bordeaux

Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon

281 Lincoln Street Umass Dermatology Hahnemann Campus
Worcester , Massachusetts 01605

Write a Review Save Call

Jeremy S Bordeaux

Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon

281 Lincoln Street Umass Dermatology Hahnemann Campus
Worcester , Massachusetts 01605

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dermatologist
  • MOHS-Micrographic Surgeon
  • Procedural Dermatology

Languages spoken

  • English

Location

281 Lincoln Street Umass Dermatology Hahnemann Campus Worcester , Massachusetts 01605

First Address

  • Jeremy S Bordeaux
  • 24701 Euclid Ave 3rd Floor
  • Euclid, OH
  • Zip : 44117-1714
  • Phone :

Second Address

  • Jeremy S Bordeaux
  • 281 Lincoln Street Umass Dermatology Hahnemann Campus
  • Worcester, MA
  • Zip : 01605
  • Phone : (508) 334-5971

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FAQs


Where did Jeremy S Bordeaux attend graduate school?

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Where did Jeremy S Bordeaux do his residency?

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Where did Jeremy S Bordeaux do his fellowship?

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Is Jeremy S Bordeaux board certified?

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What type of doctor is Jeremy S Bordeaux

MOHS-Micrographic Surgeon

In what state does Jeremy S Bordeaux practice in?

Massachusetts

Where is Jeremy S Bordeaux ’s practice located?

281 Lincoln Street Umass Dermatology Hahnemann Campus , Worcester, Massachusetts, 01605

What is Jeremy S Bordeaux ’s gender?

Male

Is Jeremy S Bordeaux a sole practitioner?

No

Is Jeremy S Bordeaux accepting new patients?

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What languages does Jeremy S Bordeaux speak?

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Does Jeremy S Bordeaux accept insurance?

Yes, Jeremy S Bordeaux accepts insurance

Does Jeremy S Bordeaux offers telemedicine?

Jeremy S Bordeaux has not indicated if he offers telemedicine

What is Jeremy S Bordeaux ’s professional license number?

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What is Jeremy S Bordeaux ’s NPI number?

1043242589

Does Jeremy S Bordeaux have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207N00000X Dermatologist 35-089926 OH
N 207ND0101X MOHS-Micrographic Surgeon 228008 MA
Y 207ND0101X MOHS-Micrographic Surgeon 35-089926 OH
N 207NS0135X Procedural Dermatology 35-089926 OH

National Provider Identifier

NPI 1043242589
Provider Name Jeremy S Bordeaux
First Address Euclid, OH 44117-1714
Second Address Worcester, MA 01605
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 07/07/2006
Last Update Date 17/12/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
000000221131 UNISON (01) OH
000000524092 ANTHEM (01) OH
2771522 (05) OH
414951 WELLCARE (01) OH
5569102 AETNA (01) OH
750496 BUCKEYE (01) OH
P00406576 RAILROAD MEDICARE (01) OH

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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