Erica Diane Dommasch

Dermatology

Boston, MA 02215

Female - 12 Yrs Experience - English

Location

1340 Boylston St

Boston, MA 02215

Phone number

(617) 267-0900

Summary

Erica Diane Dommasch is a Dermatology located at Boston, MA 02215 and is affiliated with Beth Israel Deaconess Medical Center Hospitals. She received her medical degree from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and has been in practice for more than 12 years.

Professional Identification

  1. NPI#: 1003136771
  2. PAC ID: 5698907103
  3. Clinician Enrollment ID: I20140808001835
  4. Gender: Female
  5. Enumeration: June 4 2010
  6. Last Updated: March 20 2015

Medical Credentials

  1. Credential: Undefined
  2. Medical school: Rutgers R W Johnson Medical School (cam/new Bruns/pisc)
  3. Graduation year: 2010
  4. Taxonomy: 207N00000X
  5. Specialty: Dermatology
  6. All specialties: Dermatology

Medical Practice

  1. Organization: Fenway Community Health Center, Inc
  2. Group PAC ID: 0941299655
  3. Number of Group Members: 26
  4. Medicare CCN: 220086
  5. Hospital affiliation: Beth Israel Deaconess Medical Center

Medicare Assignment

  1. Clinician accepts Medicare Assignment: Y
  2. Group accepts Medicare Assignment: Y

Locations

  1. 1340 Boylston St, Boston MA 02215 (617) 267-0900
  2. 330 Brookline Ave, Boston MA 02215 (617) 754-8612

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