| NPI | 1366001224 |
|---|---|
| Doing Business As | CORAL DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | SHAHJAHAN SHAREEF Ambr 772-240-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2023-08-04 |