Crystal St. Fort, NP
NPI #1871341073 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1871341073
- Entity Type
- Individual
- Name
- Crystal St. Fort, NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dermatology - Procedural Dermatology
- Credential
- NP
- Enumeration Date
- May 11, 2024
- Last Updated
- May 11, 2024
Practice Location
- Address
- 142 S 60TH ST UNIT A
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19139-3038
- Phone
- (215) 495-5846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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