Organization
REFORME DERMATOLOGY AND AESTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLA VASILE DO (OWNER)
(302) 893-2411
Entity
Organization
Contact information
Practice address
302 WINGO WAY STE 303, MOUNT PLEASANT, SC 29464-2839
(843) 974-1230
(843) 974-1231
Mailing address
2265 TILLAGE ST, MOUNT PLEASANT, SC 29466-9505
(302) 893-2411
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
03/28/2023
Last updated
08/31/2023
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