Dermatology Associates Of Glen Rock, P.A.
Dermatology in Glen Rock, NJ. Organization (NPI-2).
NPI number1790744142
StatusActive
Last updated in NPPESNov 23, 2010
Details
- NPI
- 1790744142
- Entity type
- Organization (NPI-2)
- Legal business name
- Dermatology Associates Of Glen Rock, P.A.
- Organization subpart
- No
- Enumeration date
- Mar 22, 2006
- Last updated
- Nov 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
348 S Maple AveGlen Rock, NJ 07452-1542
Phone 201-652-6060 · Fax 201-652-1882
Mailing address
348 S Maple AveGlen Rock, NJ 07452-1542
Phone 201-652-6060 · Fax 201-652-1882
Authorized official
Sharon A. Galvin
President
2016526060
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