National Provider Identifier Database

BOARD CERTIFIED DERMATOPATHOLOGY INC
Dermatopathology

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.


Contact Information

BOARD CERTIFIED DERMATOPATHOLOGY, INC
5208 MAHONING AVE
SUITE 208
YOUNGSTOWN, OH44515-1858
Phone: 330-799-9270
Fax: 330-799-2295
Website:
Specialty Taxonomy Code
* Dermatopathology 207ZD0900X

* Indicates primary specialty

NPI Profile & details for BOARD CERTIFIED DERMATOPATHOLOGY, INC

NPI Number 1902963358
Legal business name
LBN
BOARD CERTIFIED DERMATOPATHOLOGY, INC
Authorized official PAMELA GUERRIERE-KOVACH - (DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 01/03/2007
Last updated 03/10/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME84498
  • OH License #: 35074029
  • PA License #: MD418830
  • VA License #: 0101231016
  • WV License #: 20881
  • OH Medicaid: 2407818
  • VA Medicaid: 010128099
  • WV Medicaid: 6703070000
  • OH Other: 000000282926 ANTHEM BCBS PROVIDER #

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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