On Site Dermatology Of Pennsylvania Pllc

NPI 1114369873 - Dermatology - 207N00000X

NPI Details
NPI 1114369873
Enumeration Date 07/23/2013
Last Updated 07/23/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ADAM S ADAM
Position PRESIDENT
Phone (561) 314-2000
Fax (561) 989-3665
Practice Location
902 CLINT MOORE RD
SUITE 226
BOCA RATON FL, 33487-2800, US
Phone (561) 314-2000
Fax (561) 989-3665
Business Location
902 CLINT MOORE RD
SUITE 226
BOCA RATON FL, 33487-2800, US
Phone (561) 314-2000
Fax (561) 989-3665
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
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According to our database, On Site Dermatology Of Pennsylvania Pllc NPI is 1114369873, taxonomy code is 207N00000X On Site Dermatology Of Pennsylvania Pllc physically located at 902 Clint Moore Rd, Boca Raton FL, 33487-2800. NPI Number 1033115704 has the healthcare provider type.

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1114369873 NPI number is provided on an as is basis without warranty of any kind. 1114369873 is maintained by the National Plan & Provider Enumeration System. The contents of On Site Dermatology Of Pennsylvania Pllc are for informational purposes only.