King-maceyko Dermatology Assoc Ltd

NPI 1023114642 - Dermatology - 207N00000X

NPI Details
NPI 1023114642
Enumeration Date 09/15/2006
Last Updated 12/19/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SANDRA H SANDRA
Position PRACTICE ADMINISTRATOR
Phone (814) 536-7045
Fax (814) 539-3927
Practice Location
350 SOUTHMONT BLVD
JOHNSTOWN PA, 15905-4330, US
Phone (814) 536-7045
Fax (814) 539-3927
Business Location
350 SOUTHMONT BLVD
JOHNSTOWN PA, 15905-4330, US
Phone (814) 536-7045
Fax (814) 539-3927
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
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According to our database, King-maceyko Dermatology Assoc Ltd NPI is 1023114642, taxonomy code is 207N00000X King-maceyko Dermatology Assoc Ltd physically located at 350 Southmont Blvd, Johnstown PA, 15905-4330. NPI Number 1033115704 has the healthcare provider type.

1023114642 NPI number is provided on an as is basis without warranty of any kind. 1023114642 is maintained by the National Plan & Provider Enumeration System. The contents of King-maceyko Dermatology Assoc Ltd are for informational purposes only.