| NPI | 1205120599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SIBONA Practice Manager 215-579-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2023-01-19 |