Brecksville Dermatology, Inc.

NPI #1770820722 in Brecksville, Ohio

Provider Information

NPI Number: 1770820722
Entity Type: Organization
Organization Name: Brecksville Dermatology, Inc.
Primary Specialty: Dermatology
Enumeration Date: Jan 10, 2013
Last Updated: Jan 10, 2013

Practice Location

Address: 8751 BRECKSVILLE RD STE 50
City: Brecksville
State: Ohio
ZIP Code: 44141-1950
Phone: (440) 262-5520

Authorized Official

Name: GEORGANN POULOS, M.D.
Title: PHYSICIAN/OWNER
Phone: (440) 262-5520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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