Organization · NPI-2

Advanced Dermatology Of Pennsylvania, PC

Dermatology · Philadelphia, PA

NPI number1740671767

StatusActive

Last updated in NPPESDec 5, 2018

Details

NPI: 1740671767
Entity type: Organization (NPI-2)
Legal business name: Advanced Dermatology Of Pennsylvania, PC
Organization subpart: No
Enumeration date: Feb 12, 2015
Last updated: Dec 5, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207N00000X	Dermatology	–	–	Yes

Practice location

525 Jamestown St
Suite 206
Philadelphia, PA 19128-1751

Phone 215-482-7546

Mailing address

151 Southhall Ln
Suite 300
Maitland, FL 32751-7176

Phone 407-875-2080 · Fax 407-650-3455

Other practice locations

2705 Dekalb Pike Ste 308
Norristown, PA 19401-1852

Phone 610-272-7546 · Fax 610-272-1064

631 Airport Rd Ste 100
Hazle Township, PA 18202-3379

Phone 570-454-7546 · Fax 570-455-7547

10159 Verree Rd
Philadelphia, PA 19116-3613

Phone 215-677-1155 · Fax 215-677-5424

1220 Lincoln Way Ste 101
White Oak, PA 15131-1642

Phone 412-678-8806 · Fax 412-678-3780

500 N Lewis Run Rd Ste 217
West Mifflin, PA 15122-3070

Phone 412-466-3215 · Fax 412-466-3218

1811 Bethlehem Pike Ste 101
Flourtown, PA 19031-1111

Phone 215-254-7070 · Fax 215-254-7079

501 Office Center Dr Ste 190-195
Fort Washington, PA 19034-3220

Phone 215-836-7900 · Fax 215-836-7923

1010 Horsham Rd Ste 201
North Wales, PA 19454-1500

Phone 215-362-2385 · Fax 215-361-1584

701 5th St
Beaver, PA 15009-1964

Phone 724-774-5255 · Fax 724-774-5686

107 Gamma Dr Ste 120
Pittsburgh, PA 15238-2917

Phone 412-782-2302 · Fax 412-782-6381

Authorized official

Amy Declue
Director Of Provider Services
4078752080

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