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Physicians Dermatology Dermatopathology

Provider NPI: 1649372046

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 857-364-4757  Fax: 857-364-6604

Business Mailing Address:
Tel: 857-364-4757  Fax: 857-364-6604

NPI Information:
NPI: 1649372046
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207ND0900X





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