Provider Demographics
NPI:1902359912
Name:DERMATOLOGY SPECIALISTS OF MONTGOMERY COUNTY PC
Entity Type:Organization
Organization Name:DERMATOLOGY SPECIALISTS OF MONTGOMERY COUNTY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FILOMENA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:SCOLA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-495-6500
Mailing Address - Street 1:410 W LINFIELD TRAPPE RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-4295
Mailing Address - Country:US
Mailing Address - Phone:610-495-6500
Mailing Address - Fax:610-495-6556
Practice Address - Street 1:410 W LINFIELD TRAPPE RD
Practice Address - Street 2:SUITE 240
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468
Practice Address - Country:US
Practice Address - Phone:610-495-6500
Practice Address - Fax:610-495-6556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathologyGroup - Multi-Specialty
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty