Advanced Dermatology Laser And Mohs Surgery Center
Dermatology, Procedural Dermatology in Westfield, NJ. Organization (NPI-2).
NPI number1164416301
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1164416301
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Dermatology Laser And Mohs Surgery Center
- Organization subpart
- No
- Enumeration date
- Sep 2, 2005
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207NS0135X | Dermatology, Procedural Dermatology | – | – | Yes |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | – | – | |
| 207N00000X | Dermatology | – | – |
Practice location
240 E Grove StWestfield, NJ 07090-1687
Phone 908-232-6446 · Fax 908-232-6447
Mailing address
240 E Grove StWestfield, NJ 07090-1687
Phone 908-232-6446 · Fax 908-232-6447
Authorized official
Jerold Bruce Graff
President
9082326446
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