Organization
DERMATOLOGIC CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A PAWELSKI MD (PHYSICIAN)
(412) 824-9600
Entity
Organization
Contact information
Practice address
3424 WILLIAM PENN HWY PENN CENTER EAST, BLDG 2 STE 221, PITTSBURGH, PA 15235-5411
(412) 824-9600
(412) 824-9614
Mailing address
3424 WILLIAM PENN HWY PENN CENTER EAST, BLDG 2 STE 221, PITTSBURGH, PA 15235-5411
(412) 824-9600
(412) 824-9614
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
047262L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
761358
BLUE SHIELD
PA
01
—
770230
AETNA VSHC
PA
Enumeration date
07/29/2005
Last updated
08/22/2020
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