Dermatology Laser Surgery Center Inc. in Englewood - Procedural Dermatology
Dermatology Laser Surgery Center Inc. - NPI 1578682373
Dermatology Laser Surgery Center Inc. is a Procedural Dermatology in Englewood, Ohio. Dermatology Laser Surgery Center Inc. practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Dermatology Laser Surgery Center Inc. is 1578682373. The last update date is 2020-08-22.
Dermatology Laser Surgery Center Inc.'s current location address is 5 Wenger Road, Englewood, Ohio. You can contact this provider via phone number 9378327555 and fax number 9378302227. The mailing address for Dermatology Laser Surgery Center Inc. is 5 Wenger Road, Englewood, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dermatology Laser Surgery Center Inc. |
|---|---|
| Address | 5 Wenger Road, Englewood, Ohio |
| Phone Number | 9378327555 |
| Fax Number | 9378302227 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DO |
|---|---|
| Authorized Official Name | Palmer D Gary |
| Credentials | MD |
| Telephone Number | 9374334922 |
NPI Number Detail
| NPI Number | 1578682373 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5 Wenger Road |
|---|---|
| City | Englewood |
| State | Ohio (OH) |
| Post Code | 45322 |
| Phone Number | 9378327555 |
| Fax Number | 9378302227 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 35043172 |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 402741848001 | OH | MEDICAL MUTUAL | |
| DE181759 | OH | MEDIGAP NUMBER |
Post Comment/ Review Below
What is the Dermatology Laser Surgery Center Inc.'s 1578682373?
The Dermatology Laser Surgery Center Inc.'s NPI (National Provider Identifier) Number is 1578682373. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Dermatology Laser Surgery Center Inc. is physically located?
The Dermatology Laser Surgery Center Inc. is situated at the following address: 5 Wenger Road, Englewood, OH 45322.
What is Dermatology Laser Surgery Center Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dermatology Laser Surgery Center Inc. is Procedural Dermatology, and the taxonomy code that classifies this field of practice is 207Ns0135X.
On what date did Dermatology Laser Surgery Center Inc. receive its 1578682373 assignment from the Centers for Medicare & Medicaid Services?
The Dermatology Laser Surgery Center Inc. was assigned its 1578682373 on 2007-03-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Dermatology Laser Surgery Center Inc. most recently updated or revised?
The details related to Dermatology Laser Surgery Center Inc., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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