Organization
DELAWARE VALLEY DERMATOLOGY GROUP LLC
Active
Organization
DELAWARE VALLEY DERMATOLOGY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L SARUK M.D. (CHIEF EXECUTIVE OFFICER)
(302) 478-4350
Entity
Organization
Contact information
Practice address
3411 SILVERSIDE RD, SUITE 107; WEBSTER BUILDING, WILMINGTON, DE 19810-4812
(302) 478-8532
(302) 478-8536
Mailing address
3411 SILVERSIDE RD, SUITE 107; WEBSTER BUILDING, WILMINGTON, DE 19810-4812
(302) 475-4350
(302) 478-4325
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
02/24/2009
Last updated
06/04/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up