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

Philadelphia Center for Dermatology, PC

Organization Dermatopathology Physician · NPI 1598176554

Philadelphia Center for Dermatology, PC is a Dermatopathology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8400 Roosevelt Blvd Ste 200
Philadelphia, PA 19152-2081
Phone: (267) 538-5045
Fax: (267) 538-2153
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence MD440883 (PA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence MD440883 (PA)

Record details

NPI number1598176554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Atsuko Kodama — Owner · (267) 538-5045
NPI enumeratedMay 13, 2014
Last updated in NPPESAugust 22, 2014
Mailing address8400 Roosevelt Blvd, Suite 200, Philadelphia, PA 19152-2081

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