Organization
LASER SURGERY AND COSMETIC DERMATOLOGY CENTERS INC
Active
Other names
Main Line Center for Laser Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC F. BERNSTEIN M.D. (MEDICAL DIRECTOR)
(610) 645-5551
Entity
Organization
Contact information
Practice address
32 PARKING PLZ, SUITE 200, ARDMORE, PA 19003-2415
(610) 645-5551
(610) 645-5151
Mailing address
32 PARKING PLZ, SUITE 200, ARDMORE, PA 19003-2415
(610) 645-5551
(610) 645-5151
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD045790L
PA
207Y00000X
Otolaryngology Physician
MD432401
PA
Other
Enumeration date
10/13/2011
Last updated
10/18/2011
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