Organization
DERMATOLOGY & PHOTOTHERAPY CENTER OF BRIGHTON, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILTEFAT HAMZAVI M.D. (MEMBER)
(586) 286-8720
Entity
Organization
Contact information
Practice address
2305 GENOA BUSINESS PARK DR, BRIGHTON, MI 48114-7004
(810) 355-4300
(586) 286-8723
Mailing address
43151 DALCOMA DR, CLINTON TOWNSHIP, MI 48038-6306
(586) 286-8720
(586) 286-8723
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
04/18/2013
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