PEDS DERM LLC NPI 1548764723

NPI Information

  • NPI: 1548764723
  • Provider Name: PEDS DERM LLC
  • Classification: Dermatology - 207NP0225X
  • Specialization: Pediatric Dermatology
  • Entity Type: Organization
  • Address: 830 OLD LANCASTER RD BLDG NORTH
    BRYN MAWR, PA
    ZIP 19010
  • Phone: (610) 642-4517

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NPI Details

PEDS DERM LLC is a pediatric dermatology dermatology in Bryn Mawr, PA. The provider is a pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. PEDS DERM LLC NPI is 1548764723. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

830 OLD LANCASTER RD BLDG NORTH
BRYN MAWR, PA
ZIP 19010-118
Phone: (610) 642-4517

The provider's authorized official is Andrew Charles Krakowski .
The authorized official title is President and has the following contact phone number (610) 642-4517.

The enumeration date for this NPI number is 3/21/2018 and was last updated on 3/21/2018.

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
1207NP0225XDermatologyPediatric DermatologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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