Academic Dermatology & Mohs Surgery Sc

LBN: Academic Dermatology & Mohs Surgery Sc
Academic Dermatology & Mohs Surgery Sc is an health care organization with primary practice located at 201 N Mayfair Rd Suite 550, Wauwatosa WI 53226-4216. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Academic Dermatology & Mohs Surgery Sc can be contacted via phone (414) 258-3376, or through Gharia, Manish J via phone (414) 258-3376.

Contact Information

Primary practice address
201 N Mayfair Rd Suite 550 Wauwatosa WI 53226-4216
Phone: (414) 258-3376
Fax: (414) 475-6647
Website:
Map and Directions
Authorized official contact:
Name: Gharia, Manish J Doctor of Medicine (MD)
Phone: (414) 258-3376

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1013197862
LBN Legal business name Academic Dermatology & Mohs Surgery Sc
DBA Doing business as
Authorized official Gharia, Manish J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2007
Last updated Mar 24th, 2008 - about 18 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 1013197862 NPPES
Wisconsin MEDICAID 34248400

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