Actinodermatology Ltd

LBN: Actinodermatology Ltd
Actinodermatology Ltd is an health care organization with primary practice located at 2600 E Southern Ave #A-2, Tempe AZ 85282-7610. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Actinodermatology Ltd can be contacted via phone (480) 839-1767, or through Ponitch, Jerry A via phone (480) 839-1767.

Contact Information

Primary practice address
2600 E Southern Ave #A-2 Tempe AZ 85282-7610
Phone: (480) 839-1767
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ponitch, Jerry A Doctor of Medicine (MD)
Phone: (480) 839-1767

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 7979 Arizona

Profile Details

NPI number 1063695252
LBN Legal business name Actinodermatology Ltd
DBA Doing business as
Authorized official Ponitch, Jerry A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2007
Last updated Apr 1st, 2010 - 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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