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Organization

MT. LEBANON DERMATOLOGY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JACQUELINE A. FUNT (CORPORATE SECRETARY)
(412) 440-0270
Entity
Organization

Contact information

Practice address
607 WASHINGTON RD, LOWER LEVEL, PITTSBURGH, PA 15228-1903
(412) 440-0270
(412) 440-0271
Mailing address
607 WASHINGTON RD, LOWER LEVEL, PITTSBURGH, PA 15228-1903
(412) 440-0270
(412) 440-0271

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
PA

Other

Enumeration date
05/22/2006
Last updated
04/07/2015
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