| NPI | 1134397979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDREW ERIANNE Pres/Treasurer 201-656-5263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NJ 25MA02314200) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |