Organization
DERMATOLOGY OF PHILADELPHIA / MOHS SURGERY CENTER, LLC
Active
Organization
DERMATOLOGY OF PHILADELPHIA / MOHS SURGERY CENTER, LLC
Active
Other names
Dermatology of Philadelphia / Mohs Surgery Center, Dermatology of Philadelphia, Mohs Surgery Center, Center for Transplant Patients
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ABDELMALEK MD (OWNER)
(215) 990-6788
Entity
Organization
Contact information
Practice address
200 N 16TH ST STE D, PHILADELPHIA, PA 19102-1225
(215) 315-3197
Mailing address
200 N 16TH ST STE D, PHILADELPHIA, PA 19102-1225
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
10/07/2019
Last updated
02/12/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up