Optima Dermatology LLC

NPI #1831187764 in Boardman, Ohio

Provider Information

NPI Number: 1831187764
Entity Type: Organization
Organization Name: Optima Dermatology LLC
Primary Specialty: Dermatology
Enumeration Date: Oct 13, 2005
Last Updated: Jul 1, 2024

Practice Location

Address: 987 BOARDMAN CANFIELD RD
City: Boardman
State: Ohio
ZIP Code: 44512-4222
Phone: (330) 965-8760

Authorized Official

Name: JOHN BERNAT, MD
Title: AUTHORIZED OFFICIAL
Phone: (330) 965-8760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Dermatopathology — Dermatopathology	207ND0900X
Pathology - Anatomic Pathology — Anatomic Pathology	207ZP0101X
Specialist	174400000X
Dermatology	207N00000X	Primary

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