Organization
GASTON DERMATOLOGY CLINIC P.A.
Active
Organization
GASTON DERMATOLOGY CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT HOWARD KAHN M.D. (PRESIDENT)
(704) 864-8386
Entity
Organization
Contact information
Practice address
1072 X RAY DR, SUITE A, GASTONIA, NC 28054-7488
(704) 864-8386
(704) 864-3361
Mailing address
1072 X RAY DR, P.O. BOX 3598, GASTONIA, NC 28054-7488
(704) 864-8386
(704) 864-3361
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
39982
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8947774
—
NC
Enumeration date
11/29/2005
Last updated
08/22/2020
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