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Organization

SKIN AND LASER SURGERY CENTER OF PEN

Active
Other names
STEVEN S. GREENBAUM, MD
Organization subpart
No

Provider details

NPI number
Authorized official
JASON HAROLD NEUSTADTER (PHYSICIAN)
(215) 735-4994
Entity
Organization

Contact information

Practice address
1528 WALNUT ST, STUITE 1101, PHILADELPHIA, PA 19102-3604
(215) 735-4994
(215) 735-8376
Mailing address
1528 WALNUT ST, STUITE 1101, PHILADELPHIA, PA 19102-3604
(215) 735-4994
(215) 735-8376

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD041412E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113285501
PA
01
170232
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/10/2007
Last updated
12/21/2023
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