Westgate Dermatology and Laser Center, P.a.

NPI #1821240995 in Winston Salem, North Carolina

Provider Information

NPI Number
1821240995
Entity Type
Organization
Organization Name
Westgate Dermatology and Laser Center, P.a.
Primary Specialty
Dermatology - Dermatopathology
Enumeration Date
Oct 21, 2008
Last Updated
Oct 2, 2012

Practice Location

Address
2020 PEACE HAVEN RD
ZIP Code
27106-4851
Phone
(336) 768-1280

Authorized Official

Name
PAUL J KOSTUCHENKO, MD
Title
PRESIDENT
Phone
(336) 768-1280

Specialties & Taxonomy Codes

Specialty
Dermatology - DermatopathologyDermatopathology

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