Organization
DERMATOLOGY & COSMETIC SURGERY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARION M VUJEVICH MD (CEO)
(412) 429-2570
Entity
Organization
Contact information
Practice address
100 N WREN DR, PITTSBURGH, PA 15243-1248
(412) 429-2570
(412) 429-2572
Mailing address
100 N WREN DR, PITTSBURGH, PA 15243-1248
(412) 429-2570
(412) 429-2572
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
10721500
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077311140002
—
PA
01
—
1265
BLUE CROSS
PA
01
—
1540531
UMWA
PA
01
—
2678747
AETNA US HEALTHCARE
PA
01
—
301440
UPMC
PA
Enumeration date
08/31/2005
Last updated
01/14/2008
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