# ADVANCED DERMATOLOGY AND SKIN SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730267725
- **Authorized official:** DR. JENNIFER CARCHIDI ZAMPOGNA M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (717) 766-0500

## Contact information

- **Practice address:** 950 WOODLAND ST, MECHANICSBURG, PA 17055-4373
- **Practice address phone:** (717) 766-0500
- **Practice address fax:** (717) 766-0585
- **Mailing address:** 950 WOODLAND ST, MECHANICSBURG, PA 17055-4373
- **Mailing address phone:** (717) 766-0500
- **Mailing address fax:** (717) 766-0585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | MD418381 | PA | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 01/13/2009