Commonwealth Dermatology, P.C.
LBN: Commonwealth Dermatology, P.C.
Commonwealth Dermatology, P.C. is an health care organization with primary practice located at 3055 Washington Rd Suite 203, Mc Murray PA 15317-3279. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Commonwealth Dermatology, P.C. can be contacted via phone (724) 260-5424, or through Petrie, Matthew Shane via phone (336) 403-5331.
Contact Information
Primary practice address
3055 Washington Rd Suite 203
Mc Murray PA 15317-3279
Phone: (724) 260-5424
Fax: (724) 260-5425
Website:
Authorized official contact:
Name: Petrie, Matthew Shane Doctor of Medicine (MD)
Phone: (336) 403-5331
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD438908 | Pennsylvania |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MD438908 | Pennsylvania |
Profile Details
| NPI number | 1609239847 |
|---|---|
| LBN Legal business name | Commonwealth Dermatology, P.C. |
| DBA Doing business as | |
| Authorized official | Petrie, Matthew Shane Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 4th, 2016 |
| Last updated | Jun 6th, 2016 - about 8 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609239847 | NPPES |
| Pennsylvania | MEDICAID | 103091870-0001 |
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