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Organization

RSB DERMATOLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT S BADER (PRESIDENT PHYSICIAN)
(954) 421-3200
Entity
Organization

Contact information

Practice address
1500 EAST HILLSBORO BLVD, SUITE 204, DEERFIELD BEACH, FL 33441
(954) 421-3200
(954) 421-3201
Mailing address
1500 EAST HILLSBORO BLVD, SUITE 204, DEERFIELD BEACH, FL 33441
(954) 421-3200
(954) 421-3201

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME77930
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME77930
FL
207ND0900X
Dermatopathology Physician
ME77930
FL
207NS0135X
Procedural Dermatology Physician
ME77930
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46406
BLUE CROSS BLUE SHIELD
Enumeration date
09/12/2006
Last updated
10/13/2014
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