NPI | 1104270834 |
---|---|
Doing Business As | PANZER DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | MARYPAT KWOKA Practice Administrator 302-633-7550 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DE C5-0001054) |
Enumeration Date | 2016-04-19 |
Last Update Date | 2016-04-19 |