COASTAL DERMATOLOGY & SURGERY CENTER, PA is a specialist in Wilmington, NC. 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. COASTAL DERMATOLOGY & SURGERY CENTER, PA NPI is 1982820031. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2504 DELANEY AVENUE
WILMINGTON, NC
ZIP 28403-002
Phone: (910) 343-0626
Fax: (910) 343-8012
The provider's authorized official is Heather A Loesch .
The authorized official title is Owner President and has the following contact phone number (910) 343-0626.
The CLIA number assigned to this NPI record is 34D0975613 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 4/17/2007 and was last updated on 3/13/2013.