Age Defy Dermatology And Wellness Incorporated

LBN: F. Richard Noodleman Md A Professional Corporation
Age Defy Dermatology And Wellness Incorporated is an health care organization with primary practice located at 3803 S Bascom Ave Suite 200, Campbell CA 95008-7317. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. F. Richard Noodleman Md A Professional Corporation can be contacted via phone (408) 559-0988, or through Noodleman, Frank Richard via phone (408) 559-0988.

Contact Information

Primary practice address
3803 S Bascom Ave Suite 200 Campbell CA 95008-7317
Phone: (408) 559-0988
Fax: (408) 369-4263
Website:
Map and Directions
Authorized official contact:
Name: Noodleman, Frank Richard Doctor of Medicine (MD)
Phone: (408) 559-0988

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G422290 California

Profile Details

NPI number 1710172994
LBN Legal business name F. Richard Noodleman Md A Professional Corporation
DBA Doing business as Age Defy Dermatology And Wellness Incorporated
Authorized official Noodleman, Frank Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2007
Last updated Oct 24th, 2007 - about 17 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.

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