Advanced Dermatology of North Central Ohio INC

NPI #1073528733 in Mansfield, Ohio

Provider Information

NPI Number
1073528733
Entity Type
Organization
Organization Name
Advanced Dermatology of North Central Ohio INC
Primary Specialty
Dermatology - Procedural Dermatology
Enumeration Date
Jul 30, 2006
Last Updated
Aug 21, 2012

Practice Location

Address
770 BALGREEN DR
Address 2
STE 201
State
Ohio
ZIP Code
44906-4106
Phone
(419) 756-1600

Authorized Official

Name
DR. CHRIST JOHN TICORAS, M.D.
Title
OWNER/PRESIDENT
Phone
(419) 756-1600

Specialties & Taxonomy Codes

Specialty
Dermatology - Procedural DermatologyProcedural Dermatology
Dermatology

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