Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avalon Dermatology LLC

Organization Dermatology Physician · NPI 1366208456

Avalon Dermatology LLC is a Dermatology Physician in Warren, Ohio. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 American Way NE
Warren, OH 44484-5531
Phone: (330) 609-8814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1366208456
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Moosally — Medical Director · (330) 609-8814
Other names The Grand Resort Dermatology; The Grand Resort Dermatology
NPI enumeratedFebruary 26, 2024
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024
Mailing address1 American Way Ne, Warren, OH 44484-5531

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