| NPI | 1619263407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE GUTLIPH President 571-261-2885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |