| Balaji Arun Jothishankar, MD/MBA | |
|
680 Centre St, Brockton, MA 02302-3308 | |
| (941) 545-1226 | |
| Not Available |
| Full Name | Balaji Arun Jothishankar |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 680 Centre St, Brockton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619592417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 1022618 (Massachusetts) | Primary |
| Entity Name | Leominster Dermatology Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710342878 PECOS PAC ID: 7416251483 Enrollment ID: O20160211001797 |
| Entity Name | Framingham Dermatology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063977999 PECOS PAC ID: 8224364807 Enrollment ID: O20190722000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Balaji Arun Jothishankar, MD/MBA 680 Centre St, Brockton, MA 02302-3308 Ph: () - | Balaji Arun Jothishankar, MD/MBA 680 Centre St, Brockton, MA 02302-3308 Ph: (941) 545-1226 |
Dr. Sena J Lee, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-580-1020 | |
Dr. George Blumental, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 49 Pearl St, Ste Dob-915, Brockton, MA 02301 Phone: 508-580-1020 Fax: 508-583-6232 |