Provider profile · NPI 1366208456

Avalon Dermatology Llc

Dermatology · Warren, OH · NPI 1366208456 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Dermatology

Enumerated

Feb 26, 2024

License(s)

Addresses on file

PurposeAddressCity/StatePhone
LOCATION1 AMERICAN WAY NE Warren, OH 44484-5531330-609-8814
MAILING1 AMERICAN WAY NE Warren, OH 44484-5531330-609-8814

View on NPPES registry ↗

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