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1740671767
ADVANCED DERMATOLOGY OF PENNSYLVANIA, PC
PHILADELPHIA, PA
NPI
1740671767
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Entity Type
Organization
Authorized Contact
AMY DECLUE
Director Of Provider Services
407-875-2080
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2015-02-12
Last Update Date
2018-12-05
Business Address
ADVANCED DERMATOLOGY OF PENNSYLVANIA, PC
525 JAMESTOWN ST SUITE 206
PHILADELPHIA, PA 19128-1751
Phone number: 215-482-7546
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Mailing Address
ADVANCED DERMATOLOGY OF PENNSYLVANIA, PC
151 SOUTHHALL LN SUITE 300
MAITLAND, FL 32751-7176
Phone number: 407-875-2080
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