Organization
AMERICAN SKIN AND CANCER CENTER PC
Active
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
Update your record
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