BENEDETTO DERMATOLOGYLLC NPI 1811938863

NPI Information

BENEDETTO DERMATOLOGY,LLC is an ambulatory surgical clinic center in Philadelphia, PA. BENEDETTO DERMATOLOGY,LLC NPI is 1811938863. The provider is registered as an organization entity type.
The provider Other Name Is Dermatologic Surgicenter.

The provider's business location address is:

1200 LOCUST ST
DERMATOLOGIC SURGICENTER
PHILADELPHIA, PA
ZIP 19107-605
Phone: (215) 546-3666
Fax: (215) 546-6060

The provider's authorized official is Anthony V Benedetto .
The authorized official title is Medical Director and has the following contact phone number (215) 546-3666.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 12/16/2014.

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:

Other Identifiers

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