Organization
NEWPORT DERMATOLOGY PLLC
Active
Other names
Newport Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE DANA M.D. (SOLE MEMBER)
(252) 223-4054
Entity
Organization
Contact information
Practice address
285 HOWARD BLVD, NEWPORT, NC 28570-7927
(252) 223-3405
(252) 223-4216
Mailing address
PO BOX 1689, NEWPORT, NC 28570-1689
(252) 223-4054
(252) 223-4216
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
30120
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8926870
—
NC
Enumeration date
08/20/2012
Last updated
10/30/2013
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