Keystone Dermatology & Center For Skin Surgery, Llc

LBN: Keystone Dermatology & Center For Skin Surgery, Llc
Keystone Dermatology & Center For Skin Surgery, Llc is an health care organization with primary practice located at 2525 9Th Ave Ste 2 , Altoona PA 16602-2014. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Keystone Dermatology & Center For Skin Surgery, Llc can be contacted via phone (814) 943-7546, or through Fulchiero, Gregory John via phone (814) 943-7546.

Contact Information

Primary practice address
2525 9Th Ave Ste 2 Altoona PA 16602-2014
Phone: (814) 943-7546
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fulchiero, Gregory John M.D., M.S.
Phone: (814) 943-7546

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD432947 Pennsylvania
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD432947 Pennsylvania
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X MD432947 Pennsylvania
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X MD432947 Pennsylvania

Profile Details

NPI number 1558549733
LBN Legal business name Keystone Dermatology & Center For Skin Surgery, Llc
DBA Doing business as
Authorized official Fulchiero, Gregory John M.D., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2008
Last updated May 29th, 2008 - about 16 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 1558549733 NPPES
Pennsylvania Other N/A N/A
Pennsylvania Other 39D1084575 N/A

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