Organization
AFFILIATED DERMATOLOGY & COSMETIC SURGERY CENTER, INC
Active
Other names
Affiliated Dermatology, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT A SCARBOROUGH M.D. (MEDICAL DIRECTOR/OWNER)
(614) 764-1711
Entity
Organization
Contact information
Practice address
650 SHAWAN FALLS DR, SUITE 105, DUBLIN, OH 43017-2100
(614) 764-1711
(614) 889-2652
Mailing address
650 SHAWAN FALLS DR, SUITE 105, DUBLIN, OH 43017-2100
(614) 764-1711
(614) 889-2652
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35045403
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1351
RR MEDICARE ID
OH
Enumeration date
12/13/2005
Last updated
03/30/2017
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