Provider Demographics
NPI:1225491103
Name:THE ART OF DERMATOLOGY, LLC
Entity Type:Organization
Organization Name:THE ART OF DERMATOLOGY, LLC
Other - Org Name:FUSION DERMATOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTI
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDNASH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-770-3376
Mailing Address - Street 1:5220 S ULSTER ST
Mailing Address - Street 2:APT 2221
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2962
Mailing Address - Country:US
Mailing Address - Phone:720-355-4088
Mailing Address - Fax:
Practice Address - Street 1:8200 E BELLEVIEW AVE
Practice Address - Street 2:SUITE 200C
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2803
Practice Address - Country:US
Practice Address - Phone:303-770-3376
Practice Address - Fax:303-220-0712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty