Provider Type Icon

BRYN MAWR DERMATOLOGY P.C. NPI 1750448924


NPI Information

NPI: 1750448924
Provider Name: BRYN MAWR DERMATOLOGY, P.C.
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 39D2138086

Address:
775 E LANCASTER AVE STE 200
VILLANOVA, PA
ZIP 19085
Phone: (610) 525-7800
Get Directions

BRYN MAWR DERMATOLOGY, P.C. is a dermatology in Villanova, PA. 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. BRYN MAWR DERMATOLOGY, P.C. NPI is 1750448924. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

775 E LANCASTER AVE STE 200
VILLANOVA, PA
ZIP 19085
Phone: (610) 525-7800
Fax: (610) 525-7801

The provider's authorized official is Christine Susan Stanko .
The authorized official title is Owner Of Practice and has the following contact phone number (610) 525-7800.

The CLIA number assigned to this NPI record is 39D2138086 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 6/8/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyMD421785PENNSYLVANIAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.