Organization · NPI-2

North Jersey Dermatology Center,p.C.

Dermatology, MOHS-Micrographic Surgery · Toms River, NJ

NPI number1861520090
StatusActive
Last updated in NPPESOct 15, 2007

Details

NPI
1861520090
Entity type
Organization (NPI-2)
Legal business name
North Jersey Dermatology Center,p.C.
Organization subpart
Yes
Enumeration date
Mar 1, 2007
Last updated
Oct 15, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ND0101X Dermatology, MOHS-Micrographic SurgeryMA051828NJYes
207N00000X DermatologyMA051828NJ
207ND0900X Dermatology, DermatopathologyMA051828NJ
207NI0002X Dermatology, Clinical & Laboratory Dermatological ImmunologyMA051828NJ
207NP0225X Dermatology, Pediatric DermatologyMA051828NJ
207NS0135X Dermatology, Procedural DermatologyMA051828NJ

Other names

  • South Jersey Dermatology Center (Doing Business As)

Practice location

601 Route 37 W
Suite 105
Toms River, NJ 08755-8050

Phone 973-586-7447 · Fax 973-586-7445

Mailing address

35 Green Pond Rd
Rockaway, NJ 07866-2013

Phone 973-586-7447 · Fax 973-586-7445

Authorized official

Joseph M Masessa
President
9735867447

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