Organization
TRI COUNTY DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SCHLEICHER (MD)
(570) 459-0029
Entity
Organization
Contact information
Practice address
20 N LAUREL ST, HAZLETON, PA 18201-5948
(570) 459-0029
Mailing address
20 N LAUREL ST, HAZLETON, PA 18201-5948
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1795016001
—
PA
Enumeration date
02/06/2008
Last updated
09/23/2008
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