| NPI | 1750570453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC NEAL MASTRUSERIO President 614-442-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology Procedural Dermatology (Licence: OH 35072392M) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2021-12-17 |