Whalio Doctors

NPI 1336693902

Fairhaven Dermatology, PLLC

Organisation Dermatology Physician Bellingham, WA

Practice location

Address
3105 Old Fairhaven Pkwy, Suite 101, Bellingham, WA 98225
Phone
(360) 656-6278
Fax
(360) 778-1804

Authorised official

Name
Thomas J. Langei
Title
Owner
Phone
(360) 927-9042

Registered specialties (3)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 603616109 (WA)
MOHS-Micrographic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 603616109 (WA)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 603616109 (WA)

Registry record

NPI
1336693902
Entity type
Organization
NPI issued
11 Aug 2016
Record last updated
25 Apr 2019

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.