NPI 1740671767 · live from the CMS NPI Registry
Advanced Dermatology Of Pennsylvania, PC
Dermatology in Philadelphia, PA. National Provider Identifier 1740671767, active.
NPI record
| NPI | 1740671767 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 525 Jamestown St, Suite 206, Philadelphia, PA 19128 |
| Practice phone | 215-482-7546 |
| Mailing address | 151 Southhall Ln, Suite 300, Maitland, FL 32751 |
| Enumerated | February 12, 2015 |
| Last updated | December 5, 2018 |
| Authorized official | Amy Declue, Director Of Provider Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.