Graves Derma Care Center, Pc

LBN: Graves Derma Care Center, Pc
Graves Derma Care Center, Pc is an health care organization with primary practice located at 601 Walnut St Suite L90, Philadelphia PA 19106-3304. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Graves Derma Care Center, Pc can be contacted via phone (215) 238-1622, or through Graves, Vaughan Channing via phone (215) 879-2389.

Contact Information

Primary practice address
601 Walnut St Suite L90 Philadelphia PA 19106-3304
Phone: (215) 238-1622
Fax: (215) 238-1944
Website:
Map and Directions
Authorized official contact:
Name: Graves, Vaughan Channing Doctor of Medicine (MD)
Phone: (215) 879-2389

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD 028158E Pennsylvania

Profile Details

NPI number 1891852653
LBN Legal business name Graves Derma Care Center, Pc
DBA Doing business as
Authorized official Graves, Vaughan Channing Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated May 20th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891852653 NPPES
Pennsylvania MEDICAID 0009410580004

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