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Contact Information

ICECREAMWALA DERMATOLOGY INC
2435 WEBSTER ST STE 101
BERKELEY, CA94705
 Phone: 510-646-8070
 Fax: 833-484-7048
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ICECREAMWALA DERMATOLOGY INC · (Female)

NPI Number 1700371275
Status Active
Credentials
Entity Individual
Enumeration date 06/27/2018
Last updated 07/02/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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