| NPI | 1104843275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL L NEISH President 412-279-6799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD045711L) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD0538284) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2012-11-20 |