Organization
DERMEVE PC
Active
Other names
Mt. Lebanon Dermatology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY UDKOFF MD (PRESIDENT)
(412) 563-0217
Entity
Organization
Contact information
Practice address
607 WASHINGTON RD LOWR LEVEL, MT LEBANON, PA 15228-1903
(412) 563-0217
Mailing address
607 WASHINGTON RD LOWR LEVEL, MT LEBANON, PA 15228-1903
(412) 563-0217
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
10/09/2024
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