Organization
ASSOCIATES IN MEDICAL AND COSMETIC DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANNE VOLZ (PRACTICE ADMINISTRATOR)
(484) 785-3376
Entity
Organization
Contact information
Practice address
500 EVERGREEN DR, SUITE 20, GLEN MILLS, PA 19342-1032
(484) 785-3376
(610) 358-6913
Mailing address
500 EVERGREEN DR, SUITE 20, GLEN MILLS, PA 19342-1032
(484) 785-3376
(610) 358-6913
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0720544000
IBC
PA
01
—
099183
BLUE SHIELD
PA
01
—
469369
AETNA
PA
Enumeration date
10/31/2006
Last updated
04/05/2012
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