New Age Dermatology Center Pa

LBN: New Age Dermatology Center Pa
New Age Dermatology Center Pa is an health care organization with primary practice located at 1091 Pemberton Hill Rd Ste 201 , Apex NC 27502-4269. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. New Age Dermatology Center Pa can be contacted via phone (919) 367-3625, or through Chiritescu, Micsunica Elvira via phone (919) 624-2802.

Contact Information

Primary practice address
1091 Pemberton Hill Rd Ste 201 Apex NC 27502-4269
Fax: (919) 367-3608
Website:
Authorized official contact:
Name: Chiritescu, Micsunica Elvira Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2000-00747 North Carolina

Profile Details

NPI number 1609927623
LBN Legal business name New Age Dermatology Center Pa
DBA Doing business as
Authorized official Chiritescu, Micsunica Elvira Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Oct 29th, 2014 - about 12 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 1609927623 NPPES
North Carolina Other 129ER BLUE CROSS BLUE SHEILD
North Carolina MEDICAID 89129ER BLUE CROSS BLUE SHEILD

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