Organization
MONTGOMERY DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERUM NASEEM ILYAS MD (PRESIDENT)
(215) 694-4851
Entity
Organization
Contact information
Practice address
491 ALLENDALE RD, SUITE 302, KING OF PRUSSIA, PA 19406-1426
(610) 265-1166
(610) 265-1186
Mailing address
491 ALLENDALE RD, SUITE 302, KING OF PRUSSIA, PA 19406-1426
(610) 265-1166
(610) 265-1186
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD424557
PA
Other
Enumeration date
04/03/2009
Last updated
04/03/2009
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