NPI | 1568602969 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL L SARUK Chief Executive Officer 302-478-4350 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
207ND0900X Dermatology, Dermatopathology | |
207NS0135X Dermatology, Procedural Dermatology | |
332900000X Non-Pharmacy Dispensing Site | |
Enumeration Date | 2009-02-24 |
Last Update Date | 2021-06-04 |