Whalio Doctors

NPI 1043054497

Derma Glow Med Spa Corp

Organisation General Practice Physician Fairview Park, OH

Practice location

Address
22237 Lorain Rd, Fairview Park, OH 44126-3315
Phone
(440) 641-1406

Authorised official

Name
Nina Kazemi Shojayi
Title
Medical Director
Phone
(440) 641-1406

Registered specialties

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Registry record

NPI
1043054497
Entity type
Organization
NPI issued
20 Jun 2024
Record last updated
30 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.