Organization
DANOWSKI DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLI MAYO DANOWSKI DO (MEDICAL DIRECTOR)
(856) 420-6070
Entity
Organization
Contact information
Practice address
525 ROUTE 73 S STE 305A, MARLTON, NJ 08053-9644
(415) 802-1310
Mailing address
525 ROUTE 73 S STE 305A, MARLTON, NJ 08053-9644
(856) 420-6070
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508155300
1508155300
—
Enumeration date
11/03/2020
Last updated
09/24/2022
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