Organization
PIONEER DERMATOLOGY, LLC
Active
Other names
Pura Dermatology, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SAURABH LODHA MD (OWNER)
(212) 683-8306
Entity
Organization
Contact information
Practice address
446 W 38TH ST, NEW YORK, NY 10018-2835
(212) 683-8306
(646) 395-1683
Mailing address
446 W 38TH ST, NEW YORK, NY 10018-2835
(212) 683-8306
(646) 395-1683
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
264404
NY
Other
Enumeration date
08/29/2013
Last updated
09/05/2013
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