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Organization
SKIN DIAGNOSTIC, INC.
Active
Organization
SKIN DIAGNOSTIC, INC.
Active
Other names
Skin Diagnostics, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEATRIZ PORRAS MD (PRESIDENT)
(513) 631-0059
Entity
Organization
Contact information
Practice address
9201 MONTGOMERY RD, CINCINNATI, OH 45242-7750
(513) 631-0059
(513) 631-0068
Mailing address
PO BOX 643290, CINCINNATI, OH 45264-3290
(513) 631-0059
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2877794
—
OH
Enumeration date
11/21/2005
Last updated
10/31/2016
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