OrganizationActive
Philadelphia Center for Dermatology, PC
NPI 1598176554 · Dermatopathology Physician · Philadelphia, PA
Provider details
- NPI number
- 1598176554
- Entity type
- Organization
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Atsuko Kodama, Owner(267) 538-5045
- License
- MD440883 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
8400 Roosevelt Blvd
Suite 200
Philadelphia, PA 19152-2081
Phone: (267) 538-5045
Fax: (267) 538-2153
Approximate (ZIP-level) locationGet directions
Mailing address
8400 Roosevelt Blvd
Philadelphia, PA 19152-2081
Registry dates
- Enumerated
- 2014-05-13
- Last updated
- 2014-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.