| NPI | 1275606998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY ROTHENBERG Medical Director 973-669-0141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: NJ 25MA03949600.) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2010-03-30 |