Bay Shore Dermatology, Pc

NPI 1316011398 - Dermatology - 207N00000X

NPI Details
NPI 1316011398
Enumeration Date 11/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERT ROBERT
Position PRESIDENT
Phone (251) 928-4944
Fax (251) 928-2086
Practice Location
7550 ASSUNTA CT
FAIRHOPE AL, 36532-3069, US
Phone (251) 928-4944
Fax (251) 928-2086
Business Location
7550 ASSUNTA CT
FAIRHOPE AL, 36532-3069, US
Phone (251) 928-4944
Fax (251) 928-2086
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
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According to our database, Bay Shore Dermatology, Pc NPI is 1316011398, taxonomy code is 207N00000X Bay Shore Dermatology, Pc physically located at 7550 Assunta Ct, Fairhope AL, 36532-3069. NPI Number 1033115704 has the healthcare provider type.

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1316011398 NPI number is provided on an as is basis without warranty of any kind. 1316011398 is maintained by the National Plan & Provider Enumeration System. The contents of Bay Shore Dermatology, Pc are for informational purposes only.