Organization
COUNTY OF MONTGOMERY DERMATOLOGY
Active
Parent organization
PARKHOUSE PROVIDENCE POINTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARKHOUSE PROVIDENCE POINTE
Authorized official
MARY LOU MORRISON (BILLING MANAGER)
(610) 792-2224
Entity
Organization
Contact information
Practice address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
(610) 792-2224
(610) 792-4026
Mailing address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
(610) 792-2224
(610) 792-4026
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
MD018026E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070004195
RAILROAD NUMBER
PA
01
—
098416
PROVIDER NUMBER
PA
Enumeration date
05/01/2008
Last updated
05/01/2008
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