NPI | 1659683191 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY J CASTROVINCI Owner/President 440-951-2304 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35031291) |
Enumeration Date | 2010-07-13 |
Last Update Date | 2010-08-24 |