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PANZER DERMATOLOGY ASSOCIATES NPI 1740201995


NPI Information

NPI: 1740201995
Provider Name: PANZER DERMATOLOGY ASSOCIATES

Doing Business As: PANZER DERMATOLOGY & COSMETIC SURGERY

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 08D0205587

Address:
537 STANTON CHRISTIANA RD
SUITE 107
NEWARK, DE
ZIP 19713
Phone: (302) 633-7550
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PANZER DERMATOLOGY ASSOCIATES is a specialist in Newark, DE. 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. PANZER DERMATOLOGY ASSOCIATES NPI is 1740201995. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Panzer Dermatology & Cosmetic Surgery.

The provider's business location address is:

537 STANTON CHRISTIANA RD
SUITE 107
NEWARK, DE
ZIP 19713-146
Phone: (302) 633-7550
Fax: (302) 225-3774

The provider's authorized official is Mary Pat Kwoka .
The authorized official title is Practice Administrator and has the following contact phone number (302) 633-7550.

The CLIA number assigned to this NPI record is 08D0205587 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 11/16/2010.


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
1174400000XSpecialist1989022601DELAWAREYes

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
1526150MEDICARE ID-TYPE UNSPECIFIEDDELAWARE
2000079402MEDICAIDDELAWARE

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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