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

Keystone Dermatology & Center for Skin Surgery, LLC

Organization Dermatology Physician · NPI 1558549733

Keystone Dermatology & Center for Skin Surgery, LLC is a Dermatology Physician in Altoona, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
Specialties on file
4
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

2525 9th Ave Ste 2
Altoona, PA 16602-2014
Phone: (814) 943-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD432947 (PA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence MD432947 (PA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence MD432947 (PA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence MD432947 (PA)

Record details

NPI number1558549733
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Fulchiero — Owner/Operator/Physician · (814) 943-7546
NPI enumeratedFebruary 10, 2008
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address2525 9th Ave Ste 2a, Altoona, PA 16602-2014

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