Organization
PENNSYLVANIA DERMATOLOGY PARTNERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL L SHURMAN MD (OWNER)
(610) 288-2908
Entity
Organization
Contact information
Practice address
2128 PENN AVENUE, FIRST FLOOR, WEST LAWN, PA 19609-1600
(610) 288-2908
(610) 288-4832
Mailing address
258 BEN FRANKLIN HWY E, BIRDSBORO, PA 19508-8772
(610) 288-2908
(610) 288-4832
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
PA
207ND0101X
MOHS-Micrographic Surgery Physician
—
PA
207ND0900X
Dermatopathology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
PA
207NS0135X
Procedural Dermatology Physician
—
PA
208200000X
Plastic Surgery Physician
—
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
—
PA
Other
Enumeration date
02/24/2012
Last updated
01/09/2018
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