Dermatology and Skin Surgery Center-Newark LLC

NPI #1801185681 in Newark, Ohio

Provider Information

NPI Number: 1801185681
Entity Type: Organization
Organization Name: Dermatology and Skin Surgery Center-Newark LLC
Primary Specialty: Dermatology
Enumeration Date: Apr 1, 2011
Last Updated: Apr 20, 2011

Practice Location

Address: 71 S TERRACE AVE
City: Newark
State: Ohio
ZIP Code: 43055-1355
Phone: (614) 595-0718

Authorized Official

Name: DR. LARRY JOHN LITTLE, M.D.
Title: OWNER
Phone: (614) 824-4258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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