FAMILY DERMATOLOGY OF PENNSYLVANIA, PC – Dermatology Physician, NPI 1669482105
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2016-05-18. Reason: BRCH SA.
Dermatology Physician
Main info
Profile Insights
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Provider Addresses for FAMILY DERMATOLOGY OF PENNSYLVANIA, PC
629, Beaver Ruin Road, Luxomni, Lilburn, Gwinnett County, Georgia, 30047, United States
SUITE B
LILBURN, GA 300473468
Phone: (770) 921-4300
Fax: (770) 381-6451
Type: Mailing
Exeter Foot & Ankle, 6, Hearthstone Court, Reading, Berks County, Pennsylvania, 19606, United States
SUITE 101
READING, PA 196063065
Phone: (610) 779-7773
Fax: (610) 779-7775
Type: Location
NPPES updates history
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Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30047)
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