| NPI | 1164732095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA M. NELSON Owner 732-637-9982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2012-05-02 |