Dermatology Specialists of Pennsylvania
Dermatology Specialists of Pennsylvania is a Dermatology Physician in Southampton, Pennsylvania. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1122 Street Rd Ste 204Southampton, PA 18966-4218
Phone: (415) 802-1310
Fax: (415) 579-3505
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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 number | 1790395747 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roman Bronfenbrener — Owner · (415) 802-1310 |
| NPI enumerated | August 5, 2020 |
| Last updated in NPPES | August 5, 2020 |
| Certification date | August 5, 2020 |
| Mailing address | 1122 Street Rd Ste 204, Southampton, PA 18966-4218 |