Organization
UNIVERSITY DERMATOLOGISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LYNCH MD (OWNER)
(909) 335-8638
Entity
Organization
Contact information
Practice address
1611 S GREEN RD, SUITE 146, SOUTH EUCLID, OH 44121-4128
(909) 335-8638
Mailing address
PO BOX 74153, CLEVELAND, OH 44194-4153
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB7427
RAILROAD MEDICARE PIN
OH
Enumeration date
12/28/2006
Last updated
12/11/2007
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