| NPI | 1376721167 |
|---|---|
| Doing Business As | SOUTH END DERMATOLOGY AND SKIN CARE, INC. |
| Entity Type | Organization |
| Authorized Contact | CARL F. SCHANBACHER President 857-362-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-08-05 |