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DERMATOLOGY OF PHILADELPHIA / MOHS SURGERY CENTER LLC NPI 1932740461


NPI Information

NPI: 1932740461
Provider Name: DERMATOLOGY OF PHILADELPHIA / MOHS SURGERY CENTER, LLC

Doing Business As: MOHS SURGERY CENTER

Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 39D2193836

Address:
200 N 16TH ST STE D
PHILADELPHIA, PA
ZIP 19102
Phone: (215) 315-3197
Get Directions

DERMATOLOGY OF PHILADELPHIA / MOHS SURGERY CENTER, LLC is a mohs-micrographic surgery dermatology in Philadelphia, PA. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DERMATOLOGY OF PHILADELPHIA / MOHS SURGERY CENTER, LLC NPI is 1932740461. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mohs Surgery Center.

The provider's business location address is:

200 N 16TH ST STE D
PHILADELPHIA, PA
ZIP 19102-225
Phone: (215) 315-3197

The provider's authorized official is Mark Abdelmalek .
The authorized official title is Owner and has the following contact phone number (215) 990-6788.

The CLIA number assigned to this NPI record is 39D2193836 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/7/2019 and was last updated on 2/12/2021.


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
1207N00000XDermatologyNo
2207ND0900XDermatologyDermatopathologyNo
3207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyNo
4207NP0225XDermatologyPediatric DermatologyNo
5207NS0135XDermatologyProcedural DermatologyNo
6207ND0101XDermatologyMOHS-Micrographic SurgeryYes

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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