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Organization

AESTHETIC DERMATOLOGY ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GOPAL A PATEL MD (VICE-PRESIDENT)
(610) 566-7300
Entity
Organization

Contact information

Practice address
4 INDUSTRIAL BLVD STE 200, PAOLI, PA 19301-1605
(610) 647-4161
(610) 647-5397
Mailing address
176 S NEW MIDDLETOWN RD STE 203, MEDIA, PA 19063-5255
(610) 566-7300
(610) 476-4161

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
10/29/2018
Last updated
05/13/2024
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