| NPI | 1083983506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA BAXT President 201-265-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 213269-1) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA06657800) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |