| NPI | 1982308508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLA VASILE Owner 302-893-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-08-31 |