Provider Demographics
NPI:1821136920
Name:CANFIELD SCIENTIFIC, INC
Entity Type:Organization
Organization Name:CANFIELD SCIENTIFIC, INC
Other - Org Name:DERMATRAK SKIN IMAGING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WITMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-992-1770
Mailing Address - Street 1:357 S GULPH RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3174
Mailing Address - Country:US
Mailing Address - Phone:610-992-1770
Mailing Address - Fax:610-992-1834
Practice Address - Street 1:357 S GULPH RD
Practice Address - Street 2:SUITE 210
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-3174
Practice Address - Country:US
Practice Address - Phone:610-992-1770
Practice Address - Fax:610-992-1834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty