The Grand Resort Dermatology

LBN: Avalon Dermatology Llc
The Grand Resort Dermatology is an health care organization with primary practice located at 1 American Way Ne , Warren OH 44484-5531. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Avalon Dermatology Llc can be contacted via phone (330) 609-8814, or through Moosally, Robert T via phone (330) 609-8814.

Contact Information

Primary practice address
1 American Way Ne Warren OH 44484-5531
Phone: (330) 609-8814
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moosally, Robert T Doctor of Osteopathy (DO)
Phone: (330) 609-8814

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1366208456
LBN Legal business name Avalon Dermatology Llc
DBA Doing business as The Grand Resort Dermatology
Authorized official Moosally, Robert T Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2024
Last updated Apr 17th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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