Provider Demographics
NPI:1891766424
Name:DERMATOLOGY PHYSICIANS INC.
Entity Type:Organization
Organization Name:DERMATOLOGY PHYSICIANS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-392-6267
Mailing Address - Street 1:203 N LIME ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2729
Mailing Address - Country:US
Mailing Address - Phone:717-392-6267
Mailing Address - Fax:717-392-6059
Practice Address - Street 1:203 N LIME ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2729
Practice Address - Country:US
Practice Address - Phone:717-392-6267
Practice Address - Fax:717-392-6059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA51777OtherAENTA
PA02431000OtherCAPITAL BLUE CROSS
PACF2200Medicare ID - Type UnspecifiedRAILROAD MEDICARE
PA22124Medicare ID - Type Unspecified
022124Medicare PIN