CRYSTAL ST. FORT, NP

Dermatology - Procedural Dermatology

Active Individual
NPI: 1871341073

Practice Address

142 S 60TH ST UNIT A
Philadelphia, PA 19139

Phone: (215) 495-5846

Specialties

Specialty Code Primary License
Dermatology - Procedural Dermatology 207NS0135X Yes SP029428 (PA)

Frequently Asked Questions

NPI 1871341073 is the National Provider Identifier for CRYSTAL ST. FORT, NP, a Dermatology - Procedural Dermatology provider located in Philadelphia, PA. This NPI was enumerated on May 11, 2024.
CRYSTAL ST. FORT, NP practices at 142 S 60TH ST UNIT A, Philadelphia, PA 19139.

Quick Facts

NPI
1871341073
Type
Individual
Enumerated
May 11, 2024
Last Updated
May 11, 2024

Nearby Providers