| NPI | 1245386556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN TERI MCGILLIS Owner 717-399-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PA MD430176) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: PA MD430176) | |
| 207N00000X Dermatology (Licence: PA MD430176) | |
| 207N00000X Dermatology | |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2018-12-10 |