Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Skin Pathology Laboratory, Inc

Organization Dermatopathology Physician · NPI 1073648069

Skin Pathology Laboratory, Inc is a Dermatopathology Physician in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

609 Albany St Fl 3
Boston, MA 02118-2515
Phone: (617) 638-5570
Fax: (617) 638-5575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X (MA)

Record details

NPI number1073648069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jag Bhawan — President · (617) 638-5570
NPI enumeratedFebruary 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address680 Worcester Rd, Framingham, MA 01702-5259

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