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Pine Street Dermatology, Pc
Dermatology Physician in Philadelphia, Pennsylvania
NPI 1396822870

Pine Street Dermatology, Pc is a Dermatology Physician based in Philadelphia, PA. Pine Street Dermatology, Pc practices in Philadelphia, PA. The NPI Number for Pine Street Dermatology, Pc is 1396822870 and holds a License No. MD067435L (Pennsylvania).

The current practice location address for Pine Street Dermatology, Pc is 1233 Locust St., Philadelphia, PA and can be reached out via phone at 215-735-2636 and via fax at 215-735-2634.

Location: 1233 Locust St., Philadelphia, PA, 19107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396822870
Provider Name
Pine Street Dermatology, Pc
Credential
Provider Entity Type
Organization
Address
1233 Locust St., Philadelphia, PA, 19107
Phone Number
215-735-2636
Fax Number
215-735-2634
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2146941000 01 PA IBC
1458723 01 PA HIGHMARK BLUE SHIELD
3150557 01 PA AETNA
institution
Provider Business Practice Location Address Details
Address
1233 Locust St.
City
Philadelphia
State
Pennsylvania
Zip
19107
Phone Number
215-735-2636
Fax Number
215-735-2634
person
Provider Business Mailing Address Details
Address
1233 Locust St.
City
Philadelphia
State
Pennsylvania
Zip
19107
Phone Number
215-735-2636
Fax Number
215-735-2634
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD067435L (Pennsylvania)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
MD067435L (Pennsylvania)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
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