| NPI | 1245477348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN NATHAN MCLEAN Owner 201-525-0057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |