Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Oct 18, 2006
License(s)
MD028796E (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 11676 PERRY HWY SUITE 2305 | Wexford, PA 15090-7201 | 724-935-9133 |
| LOCATION | 11676 PERRY HWY SUITE 2305 | Wexford, PA 15090-7201 | 724-935-9133 |
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