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DELMARVA SKIN PA NPI 1255818522


NPI Information

NPI: 1255818522
Provider Name: DELMARVA SKIN PA
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 08D2111454

Address:
38394 DUPONT BLVD UNIT FG
SELBYVILLE, DE
ZIP 19975
Phone: (302) 564-0001
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DELMARVA SKIN PA is a dermatology in Selbyville, DE. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. DELMARVA SKIN PA NPI is 1255818522. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

38394 DUPONT BLVD UNIT FG
SELBYVILLE, DE
ZIP 19975-049
Phone: (302) 564-0001

The provider's authorized official is Sara Moghaddam .
The authorized official title is Physician and has the following contact phone number (302) 564-0001.

The CLIA number assigned to this NPI record is 08D2111454 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/19/2018 and was last updated on 11/29/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyC1-0011369DELAWAREYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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