# COUNTY OF MONTGOMERY DERMATOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PARKHOUSE PROVIDENCE POINTE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427224385
- **Legal business name:** PARKHOUSE PROVIDENCE POINTE
- **Authorized official:** MARY LOU MORRISON (BILLING MANAGER)
- **Authorized official phone:** (610) 792-2224

## Contact information

- **Practice address:** 1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
- **Practice address phone:** (610) 792-2224
- **Practice address fax:** (610) 792-4026
- **Mailing address:** 1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
- **Mailing address phone:** (610) 792-2224
- **Mailing address fax:** (610) 792-4026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207NI0002X | Clinical & Laboratory Dermatological Immunology Physician | MD018026E | PA | Yes |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 05/01/2008