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Organization

DERMONE DERMATOLOGY ASSOCIATES OF THE KEYSTONE STATE, P.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW C. KRAKOWSKI MD (PRESIDENT)
(484) 240-6545
Entity
Organization

Contact information

Practice address
200 BARR HARBOR DRIVE, FOUR TOWER BRIDGE, SUITE 200, WEST CONSHOHOCKEN, PA 19428
(848) 240-2812
Mailing address
200 BARR HARBOR DRIVE, FOUR TOWER BRIDGE, SUITE 200, WEST CONSHOHOCKEN, PA 19428
(848) 240-2812

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207ND0101X
MOHS-Micrographic Surgery Physician
207NP0225X
Pediatric Dermatology Physician

Other

Enumeration date
03/20/2017
Last updated
03/20/2017
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