Organization
FAMILY DERMATOLOGY OF PENNSYLVANIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA M. NELSON MD (OWNER)
(215) 483-3666
Entity
Organization
Contact information
Practice address
426 AIRPORT RD, 3 BELTWAY COMMONS, HAZLE TOWNSHIP, PA 18202-3361
(570) 454-2435
(570) 575-0104
Mailing address
40 MORRIS AVE, SUITE 150, BRYN MAWR, PA 19010-3300
(215) 519-5487
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
PA
207ND0101X
MOHS-Micrographic Surgery Physician
—
PA
207ND0900X
Dermatopathology Physician
—
PA
Other
Enumeration date
07/11/2008
Last updated
05/02/2012
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