Advanced Dermatology of Ohio, INC

NPI #1760491401 in Mason, Ohio

Provider Information

NPI Number: 1760491401
Entity Type: Organization
Organization Name: Advanced Dermatology of Ohio, INC
Primary Specialty: Dermatology
Enumeration Date: Aug 5, 2006
Last Updated: Oct 25, 2023

Practice Location

Address: 4834 SOCIALVILLE FOSTER RD STE 20
City: Mason
State: Ohio
ZIP Code: 45040-6827
Phone: (513) 459-1988

Authorized Official

Name: AMY E DECLUE
Title: DIRECTOR, PROVIDER SERVICES
Phone: (407) 875-2080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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