DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRYSTAL ST. FORT, NP

Active Sole Proprietor

Procedural Dermatology · PHILADELPHIA, PA

Registration Details

NPI Number
1871341073
Provider Type
Individual
Gender
Female
NPI Issued
May 11, 2024 (1.9473196645134 yrs)
Last Updated
May 11, 2024
License
SP029428 (PA)
Sole Proprietor
Yes

Practice Information

Address
142 S 60TH ST UNIT A
PHILADELPHIA, PA, 191393038
Browse PA providers · Browse ZIP 19139
Phone
2154955846
Primary Specialty
Procedural Dermatology
207NS0135X

Other Procedural Dermatology Providers in PHILADELPHIA, PA

Name Credential NPI
DR. DOUGLAS KLIGMAN M.D. 1043205768
CLIFFORD SCOTT PERLIS M.D. 1548251481
BARBARA M MATHES MD 1922055250
DR. STEVEN S GREENBAUM MD 1942395207
DR. ANNE MARIE ANGELES M.D. 1518028737
DR. LOUIS ALFRED BROWN JR. M.D. 1417081803
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.