Organization
AESTHETIC DERMATOLOGY ASSOCIATES, PC
Active
Other names
Aesthetic Dermatology Associates, PC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE F ALTMAN MD (PRESIDENT)
(610) 566-7300
Entity
Organization
Contact information
Practice address
176 S NEW MIDDLETOWN RD STE 203, MEDIA, PA 19063
(610) 566-7300
(610) 891-8973
Mailing address
176 S NEW MIDDLETOWN RD STE 203, MEDIA, PA 19063-5255
(610) 566-7300
(610) 891-8973
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001587218
PERSONAL CHOICE
—
01
—
1587218
HIGHMARK
—
01
—
209076
COVENTRY HMO AND PPO
—
01
—
2269675000
KEYSTONE EAST AND 65 ONLY
—
01
—
3473389
AET
—
01
—
7383842007
CIGNA HMO
—
01
—
7593441
AETNA
—
01
—
P00128279
MEDICARE RAILROAD
—
01
—
P87218
AMERIHEALTH BLAIR MILL
—
Enumeration date
07/02/2006
Last updated
05/13/2024
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