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NPI 1760491401

OrganizationActive

Advanced Dermatology of Ohio, Inc

NPI 1760491401 · Dermatology Physician · Mason, OH

Provider details

NPI number: 1760491401
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Amy Declue, Director, Provider Services

Practice location

4834 Socialville Foster Rd Ste 20

Mason, OH 45040-6827

Phone: (513) 459-1988

More OH providers

Mailing address

151 Southhall Ln

Maitland, FL 32751-7176

Registry dates

Enumerated: 2006-08-05
Last updated: 2023-10-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Advanced Dermatology of Ohio, Inc — NPI 1760491401, Mason, OH | NPI Central