| NPI | 1205104601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER POPOVSKY President 330-239-4350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OH 35076146P) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2012-02-27 |