Organization
CHILDRENS COMMUNITY CARE
Active
Organization
CHILDRENS COMMUNITY CARE
Active
Other names
Children's Dermatology Services
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MARTINEZ (EXECUTIVE ADMINISTRATOR III)
(724) 933-1100
Entity
Organization
Contact information
Practice address
100 TECHNOLOGY DR STE 2, BUTLER, PA 16001-1792
(724) 933-9190
(724) 933-9194
Mailing address
103 BRADFORD RD STE 200, WEXFORD, PA 15090-6910
(724) 933-1100
(724) 933-1160
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
09/13/2023
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