Organization
RSB DERMATOLOGY INC
Active
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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