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Organization

ALLIED DERMATOLOGY AND SKIN SURGERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN WOODHOUSE (PARTNER)
(330) 665-0555
Entity
Organization

Contact information

Practice address
3624 W MARKET ST STE 101, FAIRLAWN, OH 44333-4510
(330) 665-0555
Mailing address
3624 W MARKET ST STE 101, FAIRLAWN, OH 44333-4510

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207ND0101X
MOHS-Micrographic Surgery Physician

Other

Enumeration date
03/05/2015
Last updated
11/19/2020
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