Organization
DERMATOLOGY SPECIALISTS OF PENNSYLVANIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN BRONFENBRENER MD (OWNER)
(415) 802-1310
Entity
Organization
Contact information
Practice address
1122 STREET RD STE 204, SOUTHAMPTON, PA 18966-4218
(415) 802-1310
(415) 579-3505
Mailing address
1122 STREET RD STE 204, SOUTHAMPTON, PA 18966-4218
(415) 802-1310
(415) 579-3505
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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