OrganizationActive
Benedetto Dermatology,llc
NPI 1811938863 · Ambulatory Surgical Clinic/Center · Philadelphia, PA
Provider details
- NPI number
- 1811938863
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anthony Benedetto, Medical Director(215) 546-3666
- License
- 04841500 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1200 Locust St
Dermatologic Surgicenter
Philadelphia, PA 19107-5605
Phone: (215) 546-3666
Fax: (215) 546-6060
Approximate (ZIP-level) locationGet directions
Mailing address
1200 Locust St
Philadelphia, PA 19107-5605
Other names (DBA / former)
- Other name
- Dermatologic Surgicenter
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2014-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.