Organization
ON SITE DERMATOLOGY OF NORTH CAROLINA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY D. QUEEN (MANAGER)
(561) 314-2000
Entity
Organization
Contact information
Practice address
3737 GLENWOOD AVE STE 100, RALEIGH, NC 27612-5515
(877) 345-5300
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 314-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/17/2014
Last updated
04/04/2025
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