Organization
PHILADELPHIA DERMATOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL R GROSS MD (PRESIDENT)
(215) 928-1493
Entity
Organization
Contact information
Practice address
220 S 8TH ST, PHILADELPHIA, PA 19107-5505
(215) 928-1493
(215) 928-1786
Mailing address
220 S 8TH ST, PHILADELPHIA, PA 19107-5505
(215) 928-1493
(215) 928-1786
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD028614L
PA
Other
Enumeration date
07/19/2005
Last updated
08/22/2020
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