Organization
ADVANCED DERMATOLOGY AND SKIN SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ISRAEL ZIVONY M.D. (PRESIDENT/OWNER)
(828) 274-4880
Entity
Organization
Contact information
Practice address
16 MEDICAL PARK DR, ASHEVILLE, NC 28803-2493
(828) 274-4880
(828) 274-6868
Mailing address
16 MEDICAL PARK DR, ASHEVILLE, NC 28803-2493
(828) 274-4880
(828) 274-6868
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
200201027
NC
207ND0101X
MOHS-Micrographic Surgery Physician
200201027
NC
207ND0900X
Dermatopathology Physician
200201027
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13255
BLUE CROSS OF NORTH CAROL
NC
05
—
8913255
—
NC
Enumeration date
04/07/2006
Last updated
03/09/2015
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