21st Century Dermatology,llc
Specialist in Paramus, NJ. Organization (NPI-2).
NPI number1649361643
StatusActive
Last updated in NPPESMay 8, 2013
Details
- NPI
- 1649361643
- Entity type
- Organization (NPI-2)
- Legal business name
- 21st Century Dermatology,llc
- Organization subpart
- No
- Enumeration date
- Sep 27, 2006
- Last updated
- May 8, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | NJ | Yes |
Practice location
1 West Ridgewood AvenueSuite 305
Paramus, NJ 07652-2359
Phone 201-445-8786 · Fax 201-445-8811
Mailing address
1 West Ridgewood AvenueSuite 305
Paramus, NJ 07652-2361
Phone 201-445-8786 · Fax 201-445-8811
Authorized official
Marcy Goldstein
Owner/MD
2014458786
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