| NPI | 1548342231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY WEBSTER President 302-234-9305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: DE C10003818) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |