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Organization

DERMASURGERY CENTER, P.C.

Active
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Organization

DERMASURGERY CENTER, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN TERI MCGILLIS (OWNER)
(717) 399-9800
Entity
Organization

Contact information

Practice address
230 HARRISBURG AVE, STE 4, LANCASTER, PA 17603
(717) 399-9800
(717) 399-7613
Mailing address
230 HARRISBURG AVE, STE 4, LANCASTER, PA 17603
(717) 399-9800
(717) 399-7613

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD430176
PA
207ND0101X
MOHS-Micrographic Surgery Physician
MD430176
PA
207NS0135X
Procedural Dermatology Physician
MD430176
PA
207NS0135X
Procedural Dermatology Physician
Primary
PA

Other

Enumeration date
01/27/2007
Last updated
12/10/2018
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