NPI | 1174637722 |
---|---|
Former Legal Business Name | EMANUEL G. KUFLIK, MD, P. A. |
Entity Type | Organization |
Authorized Contact | AVERY KUFLIK President 732-341-0515 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
207NS0135X Dermatology, Procedural Dermatology | |
363A00000X Physician Assistant | |
Enumeration Date | 2006-08-19 |
Last Update Date | 2014-12-19 |