Provider Type Icon

ADVANCED DERMATOLOGY OF PENNSYLVANIA PC NPI 1740671767


NPI Information

NPI: 1740671767
Provider Name: ADVANCED DERMATOLOGY OF PENNSYLVANIA, PC
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 10D2029928

Address:
525 JAMESTOWN ST
SUITE 206
PHILADELPHIA, PA
ZIP 19128
Phone: (215) 482-7546
Get Directions

ADVANCED DERMATOLOGY OF PENNSYLVANIA, PC is a dermatology in Philadelphia, 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. ADVANCED DERMATOLOGY OF PENNSYLVANIA, PC NPI is 1740671767. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

525 JAMESTOWN ST
SUITE 206
PHILADELPHIA, PA
ZIP 19128-751
Phone: (215) 482-7546

The provider's authorized official is Amy Declue .
The authorized official title is Director Of Provider Services and has the following contact phone number (407) 875-2080.

The CLIA number assigned to this NPI record is 10D2029928 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/12/2015 and was last updated on 12/5/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyYes

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: 11/14/2023

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.