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Organization
COUNTY OF MONTGOMERY DERMATOLOGY
Active
Organization
COUNTY OF MONTGOMERY DERMATOLOGY
Active
Parent organization
PARKHOUSE PROVIDENCE POINTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARKHOUSE PROVIDENCE POINTE
Authorized official
MARY LOU MORRISON (BILLING MANAGER)
(610) 792-2224
Entity
Organization
Contact information
Practice address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
(610) 792-2224
(610) 792-4026
Mailing address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
(610) 792-2224
(610) 792-4026
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
MD018026E
PA
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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