Organization
PEDS DERM LLC
Active
Organization
PEDS DERM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW CHARLES KRAKOWSKI MD (PRESIDENT)
(610) 642-4517
Entity
Organization
Contact information
Practice address
830 OLD LANCASTER RD BLDG NORTH, BRYN MAWR, PA 19010-3118
(610) 642-4517
Mailing address
24 N BRYN MAWR AVE # 284, BRYN MAWR, PA 19010-3304
(610) 642-4517
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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