Organization
THE SKIN AND CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY B PERSICHETTI DO (PHYSICIAN AND OWNER)
(724) 910-3681
Entity
Organization
Contact information
Practice address
18 MILLRIDGE DR, ASTON, PA 19014-1063
(724) 910-3681
Mailing address
18 MILLRIDGE DR, ASTON, PA 19014-1063
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
C2-0008473
DE
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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