Organization
SIGNATURE DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA COSTANZA D.O. (DIRECTOR)
(614) 777-1200
Entity
Organization
Contact information
Practice address
3853 TRUEMAN COURT, HILLIARD, OH 43026
(614) 777-1200
Mailing address
3853 TRUEMAN COURT, HILLIARD, OH 43026
(614) 777-1200
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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