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

Keystone Dermatology & Center for Skin Surgery, LLC

Organization Dermatology Physician · NPI 1558549733

Keystone Dermatology & Center for Skin Surgery, LLC provides Dermatology Physician services in Altoona, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2525 9th Ave Ste 2
Altoona, PA 16602-2014
Phone: (814) 943-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD432947 (PA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence MD432947 (PA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence MD432947 (PA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence MD432947 (PA)

Record details

NPI number1558549733
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Fulchiero — Owner/Operator/Physician · (814) 943-7546
NPI enumeratedFebruary 10, 2008
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address2525 9th Ave Ste 2a, Altoona, PA 16602-2014

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