Dermatology Institute And Laser Center
Dermatology in Clifton, NJ. Organization (NPI-2).
NPI number1457796567
StatusActive
Last updated in NPPESMay 2, 2013
Details
- NPI
- 1457796567
- Entity type
- Organization (NPI-2)
- Legal business name
- Dermatology Institute And Laser Center
- Organization subpart
- No
- Enumeration date
- May 2, 2013
- Last updated
- May 2, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 25MB08665600 | NJ | Yes |
Practice location
1100 Clifton AveClifton, NJ 07013
Phone 973-472-1000
Mailing address
1100 Clifton AveClifton, NJ 07013
Phone 973-472-1000
Authorized official
Adriana O Ros
Owner
9734721000
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- Jenna K. PrestoNPI 1134654221
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All 13 Dermatology Physician providers in Clifton · All 2,730 providers in Clifton
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