Organization
SKIN CANCER AND DERMATOLOGY OF COLUMBUS, LLC
Active
Organization
SKIN CANCER AND DERMATOLOGY OF COLUMBUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHEN M.D. (PRESIDENT)
(614) 459-5227
Entity
Organization
Contact information
Practice address
1161 BETHEL RD, SUITE 301, COLUMBUS, OH 43220-2773
(614) 459-5227
Mailing address
1161 BETHEL RD, SUITE #301, COLUMBUS, OH 43220-2773
(614) 459-5227
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9389581
MEDICARE SOLE OWNED ORGANIZATION PTAN
OH
Enumeration date
05/03/2010
Last updated
04/30/2021
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