Organization
DERMONE OF NORTH CAROLINA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON THOMAS (AVP CONTRACTING & PRICING)
(732) 864-5129
Entity
Organization
Contact information
Practice address
1099 MEDICAL CENTER DR, WILMINGTON, NC 28401-7346
(910) 251-9944
(910) 763-4666
Mailing address
200 BARR HARBOR DR STE 200, CONSHOHOCKEN, PA 19428-2979
(800) 337-6663
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
01/30/2013
Last updated
01/11/2018
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