Organization
FOREFRONT DERMATOLOGY, S.C.
Active
Organization
FOREFRONT DERMATOLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE ANGER (SR DIRECTOR, PROVIDER ENROLLMENT)
(920) 663-9022
Entity
Organization
Contact information
Practice address
6155 S MAIN ST STE E-104, AURORA, CO 80016-5363
(720) 457-2615
(720) 577-6079
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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