| NPI | 1801003496 |
|---|---|
| Doing Business As | ASSOCIATED DERMATOLOGIST PA |
| Entity Type | Organization |
| Authorized Contact | JOHN C LONG Owner 386-672-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME68137) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-04-20 |