Healthcare Provider Details

I. General information

NPI: 1598656472
Provider Name (Legal Business Name): SKINSPIRE DERMATOLOGY AND AESTHETICS P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 LIMEKILN PIKE STE B28
DRESHER PA
19025-1126
US

IV. Provider business mailing address

1650 LIMEKILN PIKE STE B28
DRESHER PA
19025-1126
US

V. Phone/Fax

Practice location:
  • Phone: 215-609-0148
  • Fax:
Mailing address:
  • Phone: 215-609-0148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: NAOMI Y HUR
Title or Position: OWNER
Credential: CRNP
Phone: 215-609-0148