DERMATOPATH LAB, INC.
Osteopathic Medicine at Pleasant St, South Attleboro, MA

License number
Massachusetts 2413
Category
Osteopathic Medicine
Type
Dermatopathology
Owner
Name: YVONNE C. HINES M.D.
Title: MEDICAL DIRECTOR
Phone: (508) 226-5540
Address
Address
555 Pleasant St SUITE 106, South Attleboro, MA 02703
National Provider ID: 1275589624
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DERMATOPATH LAB, INC

555 Pleasant St SUITE 106, Attleboro, MA 02703

Status:
Inactive
Industry:
Dermatologist
Doing business as:
Dermatopath Lab
Registration:
Nov 1, 1995
Inactive since:
Dec 31, 2012
Phone:
(508) 222-1976 (Phone)
State ID:
043289112
Business type:
Domestic Profit Corporation
President:
Yvonne C. Hines (President), 176 President Ave, Providence, RI 02906 (Physical)
Agent:
Daniel T. Blake,89 N Main St, Attleboro, MA 02703 (Physical)

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