Organization
DERMATOLOGY CENTRE OF NORTHEAST OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI L STILSON (PRACTICE MANAGER)
(330) 758-8866
Entity
Organization
Contact information
Practice address
960 WINDHAM CT, SUITE 2, YOUNGSTOWN, OH 44512
(330) 758-8866
(330) 758-4051
Mailing address
960 WINDHAM CT, SUITE 2, YOUNGSTOWN, OH 44512
(330) 758-8866
(330) 758-4051
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35059099
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0784594
—
OH
Enumeration date
01/19/2007
Last updated
08/22/2020
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