OrganizationActive
Premier Dermatology
NPI 1104270834 · Medical Physician Assistant · Newark, DE
Provider details
- NPI number
- 1104270834
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Marypat Kwoka, Practice Administrator
- License
- C5-0001054 (DE)
Practice location
537 Stanton Christiana Rd
Suites 107,111,207 & 209
Newark, DE 19713-2146
Phone: (302) 633-7550
Mailing address
537 Stanton Christiana Rd
Newark, DE 19713-2146
Registry dates
- Enumerated
- 2016-04-19
- Last updated
- 2016-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.