Individual
STEPHANIE RENAE JACKSON CULLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3521 SILVERSIDE RD STE 1L, WILMINGTON, DE 19810-4900
(302) 477-1991
Mailing address
33 S 9TH ST, STE 740, JEFFERSON DERMATOLOGY ASSOCIATES, PHILADELPHIA, PA 19107-4408
(215) 503-6680
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
303362
NY
Other
Enumeration date
04/20/2016
Last updated
08/16/2021
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