| NPI | 1205120599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SIBONA Practice Manager 215-579-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology | |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2025-08-13 |