DR. ADAM JARED WULKAN (NPI# 1174865901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174865901 |
| Entity Type | Individual |
| Full Name | DR. ADAM JARED WULKAN |
| Credential | M.D. |
| Practice Address |
67 S. Bedford Street Burlington MA 01803 |
| Mailing Address |
67 S. Bedford Street Burlington MA 01803-5108 |
| Practice Telephone | 7817445115 |
| Practice Fax Number | 7817445687 |
| Mailing Telephone | 7817445115 |
| Mailing Fax Number | 7817445687 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2018-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 270348 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
67 S. BEDFORD STREET |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174650501 | Adam Daniel Lipworth | Dermatology | 67 S. Bedford Street, Lahey Hospital & Medical Center, Burlington, MA 01803 | 2007-02-27 |
| 1558733899 | Elizabeth Sutcliffe Valentine | Nurse Practitioner | 67 S. Bedford Street, Lahey Hospital & Medical Center, Burlington, MA 01803-5108 | 2015-10-27 |
| 1649665498 | Rana Eletriby | Internal Medicine | 67 S. Bedford Street, Lahey Hospital and Medical Center, Burlington, MA 01803 | 2015-03-30 |
| 1336579986 | Elizabeth Drumm | Nurse Practitioner | 67 S. Bedford Street, Lahey Hospital and Medical Center, Burlington, MA 01803 | 2013-11-18 |
| 1326274200 | Jeffrey Bauer Tiger | Dermatology | 67 S. Bedford Street, Lahey Hospital and Medical Center, Burlington, MA 01803-5108 | 2009-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219089 | Mallika Tara Iyer | Behavior Technician | 64 S Bedford Street, Burlington, MA 01803 | 2020-03-06 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1932608122 | Danielle Berkowitz | Registered Nurse | 90 Middlesex Tpke Ste G, Burlington, MA 01803 | 2018-02-02 |
| 1255861860 | David William Mahnken | Social Worker | 11a Cypress Drive, Burlington, MA 01803 | 2017-06-15 |
| 1770030710 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1300 Middlesex Turnpike, Burlington, MA 01803 | 2016-09-07 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1528404993 | Alexander David Neusner | Surgery | 40 Mall Rd, Burlington, MA 01803 | 2013-05-13 |
| 1730421389 | First Choice Dental Group | Dentist | 11 Camridge Street, Burlington, MA 01803 | 2013-03-21 |
| Find all providers in zip 01803 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154596096 | Katherine S. Masterpol | Dermatology | 172 Cambridge St Ste 204, Burlington, MA 01803-2984 | 2008-04-22 |
| 1174650501 | Adam Daniel Lipworth | Dermatology | 67 S. Bedford Street, Lahey Hospital & Medical Center, Burlington, MA 01803 | 2007-02-27 |
| 1114029675 | Adele Ann Moreland | Dermatology | Lahey Cinic Inc, 41 Mall Road, Burlington, MA 01805-0001 | 2006-09-03 |
| 1982695664 | Thomas M Ruenger | Dermatology | Lahey Hospital & Medical Center, 67 S. Bedford Street, Burlington, MA 01805-5108 | 2005-11-02 |
| 1811460157 | Dermphysicians of New England I LLC | Dermatology | 172 Cambridge St Ste 204, Burlington, MA 01803-2984 | 2019-01-09 |
| 1558834523 | Dermphysicians of New England LLC | Dermatology | 172 Cambridge St Ste 204, Burlington, MA 01803-2984 | 2019-01-02 |
| 1548702186 | Moses Cone Physician Services, Inc | Dermatology | 1734 Westbrook Ave, Burlington, NC 27215-8721 | 2016-11-14 |
| 1902280308 | Laura Sowerby | Dermatology | 67 S Bedford St, Burlington, MA 01803-5108 | 2015-07-15 |
| 1881071413 | Elena Gonzalez Brant | Dermatology | Lahey Hospital and Medical Center, 67 S. Bedford Street, Burlington, MA 01803 | 2015-05-04 |
| 1750776712 | Sara Alison Berg | Dermatology | 41 Mall Rd, Burlington, MA 01805-0001 | 2015-04-06 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01803 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.