Organization · NPI-2

Kuflik Dermatology, P. A.

Dermatology · Toms River, NJ

NPI number1174637722

StatusActive

Last updated in NPPESDec 19, 2014

Details

NPI: 1174637722
Entity type: Organization (NPI-2)
Legal business name: Kuflik Dermatology, P. A.
Organization subpart: No
Enumeration date: Aug 19, 2006
Last updated: Dec 19, 2014

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207N00000X	Dermatology	–	–	Yes
207ND0101X	Dermatology, MOHS-Micrographic Surgery	–	–
207NS0135X	Dermatology, Procedural Dermatology	–	–
363A00000X	Physician Assistant	–	–

Other names

Emanuel G. Kuflik, MD, P. A. (Former Legal Business Name)

Practice location

453 Lakehurst Rd
Toms River, NJ 08755-6342

Phone 732-341-0515 · Fax 732-240-0933

Mailing address

453 Lakehurst Rd
Toms River, NJ 08755-6342

Phone 732-341-0515 · Fax 732-240-0933

Authorized official

Avery Kuflik
President
7323410515

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