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

Pennsylvania Centre for Dermatology, LLC

Organization Dermatology Physician · NPI 1861501801

Pennsylvania Centre for Dermatology, LLC is a Dermatology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
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

822 Pine St Ste 2A
Philadelphia, PA 19107-6187
Phone: (267) 519-0154
Fax: (267) 519-0597
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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 MD421221 (PA)

Record details

NPI number1861501801
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Crawford — President · (267) 519-0154
NPI enumeratedAugust 30, 2006
Last updated in NPPESOctober 4, 2011
Mailing addressPo Box 22624, Philadelphia, PA 19110-2624

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