Organization · NPI-2

Bay Dermatology, LLC

Dermatology · Toms River, NJ

NPI number1700909447
StatusActive
Last updated in NPPESFeb 2, 2010

Details

NPI
1700909447
Entity type
Organization (NPI-2)
Legal business name
Bay Dermatology, LLC
Organization subpart
No
Enumeration date
Apr 9, 2007
Last updated
Feb 2, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X DermatologyMA67229NJYes

Practice location

86 E Water St
Toms River, NJ 08753-7554

Phone 732-557-9300 · Fax 732-557-9010

Mailing address

86 E Water St
Toms River, NJ 08753-7554

Phone 732-557-9300 · Fax 732-557-9010

Authorized official

Sal Thomas Laforgia
Principal
7325579300

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