Eastside Dermatology, Inc.

NPI 1063564664 - Dermatology - 207NS0135X

NPI Details
NPI 1063564664
Enumeration Date 01/17/2007
Last Updated 10/16/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALAN J ALAN
Position PRESIDENT
Phone (614) 863-3222
Fax (614) 863-4450
Practice Location
150 TAYLOR STATION RD
SUITE 250
COLUMBUS OH, 43213, US
Phone (614) 863-3222
Fax (614) 863-4450
Business Location
150 TAYLOR STATION RD
SUITE 250
COLUMBUS OH, 43213, US
Phone (614) 863-3222
Fax (614) 863-4450
Toxanomy
Taxonomy Code 207NS0135X
License State Ohio
License Number 35054686
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According to our database, Eastside Dermatology, Inc. NPI is 1063564664, taxonomy code is 207NS0135X and license number is 35054686, license state is located at Ohio. Eastside Dermatology, Inc. physically located at 150 Taylor Station Rd, Columbus OH, 43213. NPI Number 1033115704 has the healthcare provider type.

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1063564664 NPI number is provided on an as is basis without warranty of any kind. 1063564664 is maintained by the National Plan & Provider Enumeration System. The contents of Eastside Dermatology, Inc. are for informational purposes only.