Dermatology Ltd
Dermatology in Media, PA. Organization (NPI-2).
NPI number1477508257
StatusActive
Last updated in NPPESJun 24, 2010
Details
- NPI
- 1477508257
- Entity type
- Organization (NPI-2)
- Legal business name
- Dermatology Ltd
- Organization subpart
- No
- Enumeration date
- May 23, 2006
- Last updated
- Jun 24, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | PA | Yes |
Practice location
101 Chesley DrSuite 100
Media, PA 19063-1761
Phone 610-566-7111 · Fax 610-891-6735
Mailing address
101 Chesley DrSuite 100
Media, PA 19063-1761
Phone 610-566-7111 · Fax 610-891-6735
Authorized official
John Joseph Laskas
President
6105667111
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