Organization
CARLISLE DERMATOLOGY GROUP
Active
Organization
CARLISLE DERMATOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN MAP NGO D.O. (OWNER/PRESIDENT)
(717) 701-8251
Entity
Organization
Contact information
Practice address
19 SPRINT DRIVE, SUITE 1, CARLISLE, PA 17015-7002
(717) 701-8251
(717) 701-8289
Mailing address
19 SPRINT DRIVE, SUITE 1, CARLISLE, PA 17015-7002
(717) 701-8251
(717) 701-8289
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
OS17070
PA
Other
Enumeration date
08/24/2014
Last updated
05/06/2015
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