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

Philadelphia Center for Dermatology, PC

Organization Dermatopathology Physician · NPI 1598176554

Philadelphia Center for Dermatology, PC provides Dermatopathology Physician services in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8400 Roosevelt Blvd Ste 200
Philadelphia, PA 19152-2081 Not confirmed with CMS for 12 years — call before visiting
Phone: (267) 538-5045
Fax: (267) 538-2153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence MD440883 (PA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence MD440883 (PA)

Record details

NPI number1598176554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Atsuko Kodama — Owner · (267) 538-5045
NPI enumeratedMay 13, 2014
Last updated in NPPESAugust 22, 2014
Mailing address8400 Roosevelt Blvd, Suite 200, Philadelphia, PA 19152-2081

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