| NPI | 1073646212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JEAN HARRINGTON Coordinator 973-736-9535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA06197500) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2021-03-02 |