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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