| NPI | 1407634074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MATTEI Owner 609-330-2168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |