| NPI | 1831187764 |
|---|---|
| Former Legal Business Name | ADVANCED DERMATOLOGY AND SKIN CANCER CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN BERNAT Authorized Official 330-965-8760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 174400000X Specialist |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207ND0900X Dermatology, Dermatopathology | |
| 207ZP0101X Pathology, Anatomic Pathology | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2024-05-10 |