| NPI | 1144657164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN KOLANSKY Owner 732-933-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NJ 25MA06217900) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2015-05-05 |