Organization
ADVANCED DERMATOLOGY INC
Active
Other names
Advanced Dermatology & Cosmetic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIQUE S COHN DO (PRESIDENT)
(330) 425-7600
Entity
Organization
Contact information
Practice address
8940 DARROW RD, TWINSBURG, OH 44087-2110
(330) 425-7600
Mailing address
PO BOX 932930, ADVANCED DERMATOLOGY, INC., CLEVELAND, OH 44193-2930
(330) 425-7600
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2082213
—
OH
01
—
CI9506
MEDICARE RAILROAD
—
Enumeration date
05/17/2006
Last updated
03/30/2016
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