Organization
CUTISCO LLC
Active
Other names
CutisCo Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANH PHAM (MEDICAL DIRECTOR)
(888) 321-7170
Entity
Organization
Contact information
Practice address
2240 COLISEUM DR STE D, HAMPTON, VA 23666-5903
(888) 321-7170
Mailing address
1706 TODDS LN # 310, HAMPTON, VA 23666-3123
(888) 321-7170
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
11/21/2024
Last updated
04/08/2025
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