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DERMATOLOGY ASSOCIATES OF PLYMOUTH MEETING PC NPI 1124082862


NPI Information

NPI: 1124082862
Provider Name: DERMATOLOGY ASSOCIATES OF PLYMOUTH MEETING, PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 39D0676601

Address:
531 W GERMANTOWN PIKE
SUITES 200/201
PLYMOUTH MEETING, PA
ZIP 19462
Phone: (610) 828-0400
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DERMATOLOGY ASSOCIATES OF PLYMOUTH MEETING, PC is a specialist in Plymouth Meeting, PA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DERMATOLOGY ASSOCIATES OF PLYMOUTH MEETING, PC NPI is 1124082862. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

531 W GERMANTOWN PIKE
SUITES 200/201
PLYMOUTH MEETING, PA
ZIP 19462-325
Phone: (610) 828-0400
Fax: (610) 828-3869

The provider's authorized official is Jonathan T Wolfe .
The authorized official title is Owner and has the following contact phone number (610) 828-0400.

The CLIA number assigned to this NPI record is 39D0676601 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/12/2006 and was last updated on 4/13/2015.


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
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1472774OTHERPENNSYLVANIAAETNA
20046672000OTHERPENNSYLVANIAINDEPENDENCE BLUE CROSS
3100127MEDICARE PINPENNSYLVANIA

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

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.