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
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