Organization
FOREFRONT DERMATOLOGY - EAST PROFESSIONAL, LLC
Active
Other names
Forefront Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY J WERNLI MD (PRESIDENT)
(920) 482-0671
Entity
Organization
Contact information
Practice address
2727 OCEAN PKWY STE L1, BROOKLYN, NY 11235-7848
(718) 975-7546
(718) 975-7547
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
04/11/2023
Last updated
05/30/2024
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