NPI | 1750691010 |
---|---|
Doing Business As | BOUGHTON DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | ANTOANELLA CALAME Dermatologist 858-353-5159 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207ND0900X Dermatology Dermatopathology |
Enumeration Date | 2010-10-20 |
Last Update Date | 2010-10-20 |