| NPI | 1912290503 |
|---|---|
| Doing Business As | MANHATTAN DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ASHLEY MAGOVERN President/Owner 310-546-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A103514) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |