PENNSYLVANIA CENTRE FOR DERMATOLOGY, LLC

PHILADELPHIA, PA
NPI1861501801
Entity TypeOrganization
Authorized ContactGLEN H CRAWFORD
President
267-519-0154
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: PA  MD421221)
Enumeration Date2006-08-30
Last Update Date2011-10-04
Business Address
PENNSYLVANIA CENTRE FOR DERMATOLOGY, LLC
822 PINE ST SUITE 2A
PHILADELPHIA, PA 19107-6187
Phone number: 267-519-0154
Mailing Address
PENNSYLVANIA CENTRE FOR DERMATOLOGY, LLC
PO BOX 22624
PHILADELPHIA, PA 19110-2624
Phone number: 267-519-0154