| NPI | 1629010236 |
|---|---|
| Doing Business As | BALA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARY E. GRIFFIN President 610-664-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD018002E) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: PA MD018002E) |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: PA MD018002E) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: PA MD018002E) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: PA MD018002E) | |
| 208200000X Plastic Surgery (Licence: PA MD018002E) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2021-05-03 |