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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