| NPI | 1558836445 |
|---|---|
| Doing Business As | NOUSARI DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JESSICA HEGEDUS Office Manager/Billing Specialist 754-444-8503 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology | |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |