OrganizationActive
Dermatologic Surgery Center of Northeast Ohio Inc
NPI 1205104601 · MOHS-Micrographic Surgery Physician · Medina, OH
Provider details
- NPI number
- 1205104601
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Popovsky, President(330) 239-4350
- License
- 35076146P (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1133 Medina Rd
Suite 100
Medina, OH 44256-0000
Phone: (330) 238-4350
Fax: (330) 239-4584
Approximate (ZIP-level) locationGet directions
Mailing address
1133 Medina Rd
Medina, OH 44256
Registry dates
- Enumerated
- 2011-12-13
- Last updated
- 2012-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.