| NPI | 1083610521 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE D JAEGER Officer 212-262-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2014-12-10 |