Icecreamwala Dermatology INC

NPI #1700371275 in Berkeley, California

Provider Information

NPI Number: 1700371275
Entity Type: Organization
Organization Name: Icecreamwala Dermatology INC
Primary Specialty: Dermatology
Enumeration Date: Jun 27, 2018
Last Updated: Jul 2, 2018

Practice Location

Address: 2435 WEBSTER ST STE 101
City: Berkeley
State: California
ZIP Code: 94705
Phone: (510) 646-8070

Authorized Official

Name: DEVIKA ICECREAMWALA, MD
Title: AUTHORIZED OFFICIAL
Phone: (510) 646-8070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - Pediatric Dermatology — Pediatric Dermatology	207NP0225X
Dermatology	207N00000X	Primary

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