Organization
SKIN DIAGNOSTIC, INC.
Active
Other names
Skin Diagnostics, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEATRIZ PORRAS MD (PRESIDENT)
(513) 631-0059
Entity
Organization
Contact information
Practice address
9201 MONTGOMERY RD, CINCINNATI, OH 45242-7750
(513) 631-0059
(513) 631-0068
Mailing address
PO BOX 643290, CINCINNATI, OH 45264-3290
(513) 631-0059
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2877794
—
OH
Enumeration date
11/21/2005
Last updated
10/31/2016
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