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

Westgate Dermatology and Laser Center, PA

Organization Dermatopathology Physician · NPI 1821240995

Westgate Dermatology and Laser Center, PA is a Dermatopathology Physician in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2020 Peace Haven Rd
Winston Salem, NC 27106-4851
Phone: (336) 768-1280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X (NC)

Record details

NPI number1821240995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Kostuchenko — President · (336) 768-1280
NPI enumeratedOctober 21, 2008
Last updated in NPPESOctober 2, 2012
Mailing address2020 Peace Haven Rd, Winston Salem, NC 27106-4851

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