| NPI | 1063614261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN T BURNS Owner 856-795-1341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NJ 25MA02696600) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-25 |