Mansfield Dermatology INC

NPI #1316030521 in Mansfield, Ohio

Provider Information

NPI Number: 1316030521
Entity Type: Organization
Organization Name: Mansfield Dermatology INC
Primary Specialty: Dermatology
Enumeration Date: Oct 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 161 CLINE AVENUE
City: Mansfield
State: Ohio
ZIP Code: 44907
Phone: (419) 756-5739

Authorized Official

Name: MS. DEBORAH LYNNE MORITZ, MD
Title: OWNER
Phone: (419) 756-5739

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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