Provider Demographics
NPI:1407881683
Name:BROWNSTONE DERMATOLOGY ASSOCIATES, LLC
Entity Type:Organization
Organization Name:BROWNSTONE DERMATOLOGY ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CASSEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-566-6633
Mailing Address - Street 1:530 WALTON AVE
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-1834
Mailing Address - Country:US
Mailing Address - Phone:717-566-6633
Mailing Address - Fax:
Practice Address - Street 1:530 WALTON AVE
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-1834
Practice Address - Country:US
Practice Address - Phone:717-566-6633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty