| NPI | 1386078236 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE JAEGER Chief Executive Officer 212-262-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |