Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pennsylvania Centre for Dermatology, LLC

Organization Dermatology Physician · NPI 1861501801

Pennsylvania Centre for Dermatology, LLC provides Dermatology Physician services in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
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

822 Pine St Ste 2A
Philadelphia, PA 19107-6187 Not confirmed with CMS for 15 years — call before visiting
Phone: (267) 519-0154
Fax: (267) 519-0597
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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 MD421221 (PA)

Record details

NPI number1861501801
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Crawford — President · (267) 519-0154
NPI enumeratedAugust 30, 2006
Last updated in NPPESOctober 4, 2011
Mailing addressPo Box 22624, Philadelphia, PA 19110-2624

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