Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dermatology Specialists of Pennsylvania

Organization Dermatology Physician · NPI 1790395747

Dermatology Specialists of Pennsylvania provides Dermatology Physician services in Southampton, Pennsylvania. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1122 Street Rd Ste 204
Southampton, PA 18966-4218
Phone: (415) 802-1310
Fax: (415) 579-3505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1790395747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roman Bronfenbrener — Owner · (415) 802-1310
NPI enumeratedAugust 5, 2020
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020
Mailing address1122 Street Rd Ste 204, Southampton, PA 18966-4218