Organization
CENTER CITY DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SENA J LEE MD (OWNER)
(267) 687-4437
Entity
Organization
Contact information
Practice address
1500 WALNUT ST, STE 1240, PHILADELPHIA, PA 19102-3523
(267) 687-4437
(267) 687-4438
Mailing address
2813 OGDEN ST, PHILADELPHIA, PA 19130-1152
(267) 687-4437
(267) 687-4438
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD428450
PA
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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