Madison Dermatology LLC

NPI #1215007455 in Madison, Indiana

Provider Information

NPI Number
1215007455
Entity Type
Organization
Organization Name
Madison Dermatology LLC
Primary Specialty
Dermatology - Procedural Dermatology
Enumeration Date
Nov 8, 2006
Last Updated
Mar 27, 2013

Practice Location

Address
122 DEMAREE DR
State
Indiana
ZIP Code
47250-4622
Phone
(812) 265-9191

Authorized Official

Name
DR. EDUARDO GABRIEL RIVERA, M.D.
Title
OWNER
Phone
(812) 265-9191

Specialties & Taxonomy Codes

Specialty
Dermatology - Procedural DermatologyProcedural Dermatology

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