NPI | 1992215180 |
---|---|
Doing Business As | ANEW DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | ROBERT GEORGE EGBERS Member 607-444-5446 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 288727) |
Enumeration Date | 2017-10-03 |
Last Update Date | 2024-12-18 |