Individual
JEREMY UDKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 WASHINGTON RD LOWR LEVEL, MT LEBANON, PA 15228-1903
(412) 563-0217
Mailing address
607 WASHINGTON RD LOWR LEVEL, PITTSBURGH, PA 15228-1903
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
323142
NY
207N00000X
Dermatology Physician
MD478556
PA
207ND0101X
MOHS-Micrographic Surgery Physician
323142
NY
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD478556
PA
Other
Enumeration date
03/30/2018
Last updated
09/20/2024
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