| NPI | 1265611222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA N IANNOTTA Sole Proprietor 732-651-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-11-08 |