Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | Family Dermatology of Pennsylvania, PC | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States | [sources] | |||
NPI | 1669482105 | [sources] | |||
Registration number | not available | [sources] | |||
Tax Number | 205288226 | [sources] | |||
Address | (GA), (GA) | [sources] | |||
Last change | Last processed | First seen |
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
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Address | ||
---|---|---|
Full address | Country | |
(GA), (GA) · GA, GA | United States |