Organization
CENTRAL MONTGOMERY DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES FAIRFIELD MD (OWNER)
(215) 361-5030
Entity
Organization
Contact information
Practice address
1003 S BROAD ST, LANSDALE, PA 19446-5338
(215) 361-5030
(215) 412-3587
Mailing address
1003 S BROAD ST, LANSDALE, PA 19446-5338
(215) 361-5030
(215) 412-3587
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/31/2006
Last updated
08/22/2020
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