King-Maceyko Dermatology Assoc Ltd

NPI #1669633814 in Somerset, Pennsylvania

Provider Information

NPI Number: 1669633814
Entity Type: Organization
Organization Name: King-Maceyko Dermatology Assoc Ltd
Subpart: Yes (part of a larger organization)
Parent Organization: KING-MACEYKO DERMATOLOGY ASSOC LTD
Primary Specialty: Dermatology
Enumeration Date: Jun 20, 2008
Last Updated: Jun 20, 2008

Practice Location

Address: 223 S PLEASANT AVE
Address 2: SUITE 101
City: Somerset
State: Pennsylvania
ZIP Code: 15501
Phone: (814) 443-6918

Authorized Official

Name: SANDRA H KING
Title: PRACTICE ADMINISTRATOR
Phone: (814) 536-7045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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