NPI | 1164416301 |
---|---|
Entity Type | Organization |
Authorized Contact | JEROLD BRUCE GRAFF President 908-232-6446 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
207NS0135X Dermatology Procedural Dermatology | |
Enumeration Date | 2005-09-02 |
Last Update Date | 2020-08-22 |