Organization
THE DERMATOLOGY GROUP, INC
Active
Organization
THE DERMATOLOGY GROUP, INC
Active
Other names
Advanced Dermatology and Dermatopathology, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR B. PATEL MD (OWNER)
(513) 770-4212
Entity
Organization
Contact information
Practice address
5298 SOCIALVILLE FOSTER RD, MASON, OH 45040-9302
(513) 770-4212
(513) 770-4213
Mailing address
5298 SOCIALVILLE FOSTER RD, MASON, OH 45040-9302
(513) 770-4212
(513) 770-4213
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2559100
—
OH
01
—
DA7892
RAILROAD MEDICARE
OH
Enumeration date
07/09/2006
Last updated
12/09/2015
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