| NPI | 1932304888 |
|---|---|
| Doing Business As | EASTSIDE DERMATOLOGY, P.A. |
| Entity Type | Organization |
| Authorized Contact | KERRY ZIMMER Office Manager 954-772-0416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: FL OS8871) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2013-01-29 |