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Organization

AMERICAN SKIN AND CANCER CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ZULEICA MURILLO (DEVELOPMENT)
(559) 446-1070
Entity
Organization

Contact information

Practice address
7055 N FRESNO ST, SUITE 310, FRESNO, CA 93720-2957
(559) 446-1070
(559) 446-1646
Mailing address
7055 N FRESNO ST, SUITE 310, FRESNO, CA 93720-2957
(559) 446-1070
(559) 446-1646

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA07004000
NJ
207ND0101X
MOHS-Micrographic Surgery Physician
207ND0900X
Dermatopathology Physician
207NS0135X
Procedural Dermatology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25MA07004000
MEDICAL LICENCE NUMBER
NJ
Enumeration date
02/20/2009
Last updated
04/28/2009
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