| NPI | 1386981884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E VINE Owner 609-799-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NJ 25MA06571600) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2025-02-25 |