| NPI | 1245578921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON THOMAS A VP Contracting & Pricing 732-864-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2018-01-11 |