| NPI | 1669670964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANDREW COHEN Member 786-281-3827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MO 2002002466) |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2016-05-05 |