University Dermatology Center Pc in Muncie - Specialist

University Dermatology Center Pc - NPI 1578615266

University Dermatology Center Pc is a Specialist in Muncie, Indiana. University Dermatology Center Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for University Dermatology Center Pc is 1578615266. The last update date is 2012-02-10.

University Dermatology Center Pc's current location address is 2525 W University Ave Ste 402, Muncie, Indiana. You can contact this provider via phone number 7657476090 and fax number 7657475069. The mailing address for University Dermatology Center Pc is 2525 W University Ave Ste 402, Muncie, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization University Dermatology Center Pc
Address 2525 W University Ave Ste 402, Muncie, Indiana
Phone Number 7657476090
Fax Number 7657475069
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Zemtsov Alexander
Credentials M.D.
Telephone Number 7657476090

NPI Number Detail

NPI Number 1578615266
Provider Enumeration Date 2007-01-16
Last Updated Date 2012-02-10

Provider Mailing Address Detail

Address 2525 W University Ave Ste 402
City Muncie
State Indiana (IN)
Post Code 473033409
Phone Number 7657476090
Fax Number 7657475069

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 50003770A
Definition:
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.

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FAQs about University Dermatology Center Pc

What is the unique identification code assigned to University Dermatology Center Pc by the Centers for Medicare & Medicaid Services?

The University Dermatology Center Pc has been issued the NPI (National Provider Identifier) 1578615266. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where University Dermatology Center Pc is geographically located?

The University Dermatology Center Pc is physically situated at the following location: 2525 W University Ave Ste 402, Muncie, IN, 473033409.

What is University Dermatology Center Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The University Dermatology Center Pc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1578615266 to University Dermatology Center Pc?

The University Dermatology Center Pc received its 1578615266 assignment from the Centers for Medicare & Medicaid Services on 2007-01-16.

When was the information pertaining to University Dermatology Center Pc most recently updated or revised?

The details related to University Dermatology Center Pc, including its address, specialty, and other relevant information, were last updated or revised on 2012-02-10.

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