OrganizationActive
Westgate Dermatology and Laser Center, P.A.
NPI 1821240995 · Dermatopathology Physician · Winston Salem, NC
Provider details
- NPI number
- 1821240995
- Entity type
- Organization
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Kostuchenko, President(336) 768-1280
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2020 Peace Haven Rd
Winston Salem, NC 27106-4851
Phone: (336) 768-1280
Approximate (ZIP-level) locationGet directions
Mailing address
2020 Peace Haven Rd
Winston Salem, NC 27106-4851
Registry dates
- Enumerated
- 2008-10-21
- Last updated
- 2012-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.