| Kachiu Cecilia Lee, MD | |
|
32 Parking Plz Ste 200, Ardmore, PA 19003-2415 | |
| (610) 645-5551 | |
| Not Available |
| Full Name | Kachiu Cecilia Lee |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 32 Parking Plz Ste 200, Ardmore, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992025381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD14704 (Rhode Island) | Secondary |
| 207N00000X | Dermatology | 258397 (Massachusetts) | Secondary |
| 207N00000X | Dermatology | MD466653 (Pennsylvania) | Primary |
| Entity Name | Nantucket Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689944811 PECOS PAC ID: 7719147917 Enrollment ID: O20120326000691 |
| Mailing Address | Practice Location Address |
|---|---|
| Kachiu Cecilia Lee, MD 32 Parking Plz Ste 200, Ardmore, PA 19003-2415 Ph: (610) 645-5551 | Kachiu Cecilia Lee, MD 32 Parking Plz Ste 200, Ardmore, PA 19003-2415 Ph: (610) 645-5551 |
Laurie Tolin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 100 Church Rd, Ardmore, PA 19003 Phone: 610-642-1806 Fax: 610-645-5783 | |
Dr. Eric Ferenc Bernstein, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 32 Parking Plz, Suite 200, Ardmore, PA 19003 Phone: 610-645-5551 Fax: 610-645-5151 | |
Dr. Ali M M Sh M Alajmi, MD , FRCPC , FAAD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 32 Parking Plz, Ardmore, PA 19003 Phone: 610-645-5551 | |
Jon Hamilton Meyerle, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 32 Parking Plz Ste 300, Ardmore, PA 19003 Phone: 610-299-4561 Fax: 610-200-1411 |