| NPI | 1518237825 |
|---|---|
| Doing Business As | NORTHEAST DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | FRIEDA M LOWDER Sr. Vice President 704-403-4146 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-03-28 |