| NPI | 1669482105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA M. NELSON Owner 215-483-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2014-09-23 |