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1376211961
INTEGRATED DERMATOLOGY OF SLIDELL LLC
SLIDELL, LA
NPI
1376211961
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Entity Type
Organization
Authorized Contact
ANIMESH SINHA
Authorized Group Official
561-314-2000
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2021-08-31
Last Update Date
2021-08-31
Business Address
INTEGRATED DERMATOLOGY OF SLIDELL LLC
2104 GAUSE BLVD W STE A
SLIDELL, LA 70460-4130
Phone number: 985-643-4575
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Mailing Address
INTEGRATED DERMATOLOGY OF SLIDELL LLC
4700 EXCHANGE CT STE 110
BOCA RATON, FL 33431-4450
Phone number: 561-314-2000
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