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Skin And Laser Surgery Center Of Pen
Specialist in Philadelphia, Pennsylvania
NPI 1871791954

Skin And Laser Surgery Center Of Pen is a Specialist based in Philadelphia, PA. Skin And Laser Surgery Center Of Pen practices in Philadelphia, PA. The NPI Number for Skin And Laser Surgery Center Of Pen is 1871791954 and holds a License No. MD041412E (Pennsylvania).

The current practice location address for Skin And Laser Surgery Center Of Pen is 1528 Walnut St, Philadelphia, PA and can be reached out via phone at 215-735-4994 and via fax at 215-735-8376.

Location: 1528 Walnut St, Philadelphia, PA, 19102-3604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871791954
Provider Name
Skin And Laser Surgery Center Of Pen
Credential
Provider Entity Type
Organization
Address
1528 Walnut St, Philadelphia, PA, 19102-3604
Phone Number
215-735-4994
Fax Number
215-735-8376
Provider Enumeration Date
07/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
113285501 05 PA
170232 01 PA HIGHMARK BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1528 Walnut St
City
Philadelphia
State
Pennsylvania
Zip
19102-3604
Phone Number
215-735-4994
Fax Number
215-735-8376
person
Provider Business Mailing Address Details
Address
1528 Walnut St
City
Philadelphia
State
Pennsylvania
Zip
19102-3604
Phone Number
215-735-4994
Fax Number
215-735-8376
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD041412E (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.
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