Provider Demographics
NPI:1235147083
Name:BUCHBINDER DERMATOLOGY CENTER
Entity Type:Organization
Organization Name:BUCHBINDER DERMATOLOGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:A
Authorized Official - Last Name:BUCHBINDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-395-7704
Mailing Address - Street 1:2499 WEST GLADES ROAD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7202
Mailing Address - Country:US
Mailing Address - Phone:561-395-7705
Mailing Address - Fax:561-395-8860
Practice Address - Street 1:2499 GLADES RD
Practice Address - Street 2:SUITE 310
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7209
Practice Address - Country:US
Practice Address - Phone:561-395-7705
Practice Address - Fax:561-395-8860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty