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Avalon Dermatology LLC

Dermatology Physician in Warren, OH · enumerated 2024 · authorized official Robert Moosally, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366208456

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Registry record

Entity type Organization (Type 2)
Legal business name Avalon Dermatology LLC
Other name <Unavail>
Practice address 1 American Way Ne, Warren, OH, 44484
Phone (330) 609-8814
Enumeration date Feb 26, 2024
Last updated in NPPES Apr 17, 2024

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Robert Moosally
Title Medical Director
Phone (330) 609-8814

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Avalon Dermatology LLC?
The NPI for Avalon Dermatology LLC is 1366208456, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Avalon Dermatology LLC?
NPPES lists Robert Moosally (Medical Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-17.